[Interventional cardiology in the elderly, at the time of TAVI and left atrial appendage occlusion]

Soins Gerontol. 2021 Jan-Feb;26(147):12-15. doi: 10.1016/j.sger.2020.10.003. Epub 2020 Nov 1.
[Article in French]

Abstract

Interventional cardiology is increasingly being offered to frail elderly people thanks to significant technical progress. Transcatheter aortic valve implantation allows the treatment of aortic stenosis by implanting an aortic bioprosthesis through a catheter, without surgery. The left atrial appendage occlusion limits the risk of ischemic stroke in patients with atrial fibrillation who have a contraindication to anticoagulants. These procedures remain invasive and must be proposed after multidisciplinary consultation.

Keywords: TAVI; Tavi; atrial occlusion; cardiologie interventionnelle; elderly subject; fermeture de l’auricule; interventional cardiology; multidisciplinarity; pluridisciplinarité; sujet âgé.

MeSH terms

  • Aged
  • Aortic Valve Stenosis* / surgery
  • Atrial Appendage* / diagnostic imaging
  • Atrial Appendage* / surgery
  • Atrial Fibrillation* / complications
  • Atrial Fibrillation* / therapy
  • Cardiology*
  • Humans
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome