Transcatheter Aortic Valve Replacements: Current Trends and Future Directions

Lee A. Goeddel, Jessica Serini, Johannes W. Steyn, Adam S. Evans, Sanjay Dwarakanath, Harish Ramakrishna, John Augoustides, Mary Beth Brady

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Since the 1960s when the first aortic surgical aortic valve replacement (SAVR) was performed, continuous growth in the field of valvular technology has occurred. Although SAVR remains a lifesaving procedure, minimally invasive transcatheter aortic valve replacement has revolutionized and expanded aortic valve replacement to patients who were not previously SAVR candidates, increasing their quality of life and survival. Since its introduction in the United States in 2011, the technology and practice have rapidly expanded. Hybrid techniques have been developed that combine surgical access to the vasculature with valvular deployment over transcatheter systems. This literature review aims to describe the differences between the current available valve technologies, review approaches to surgical technique, discuss anesthetic considerations, and look forward to future directions, trends, and challenges.

Original languageEnglish (US)
JournalSeminars in Cardiothoracic and Vascular Anesthesia
DOIs
StateAccepted/In press - Jun 1 2018

Fingerprint

Aortic Valve
Surgical Instruments
Technology
Anesthetics
Quality of Life
Survival
Transcatheter Aortic Valve Replacement
Direction compound
Growth

Keywords

  • aortic stenosis
  • Medtronic
  • SAPIEN
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this

Transcatheter Aortic Valve Replacements : Current Trends and Future Directions. / Goeddel, Lee A.; Serini, Jessica; Steyn, Johannes W.; Evans, Adam S.; Dwarakanath, Sanjay; Ramakrishna, Harish; Augoustides, John; Brady, Mary Beth.

In: Seminars in Cardiothoracic and Vascular Anesthesia, 01.06.2018.

Research output: Contribution to journalArticle

Goeddel, Lee A. ; Serini, Jessica ; Steyn, Johannes W. ; Evans, Adam S. ; Dwarakanath, Sanjay ; Ramakrishna, Harish ; Augoustides, John ; Brady, Mary Beth. / Transcatheter Aortic Valve Replacements : Current Trends and Future Directions. In: Seminars in Cardiothoracic and Vascular Anesthesia. 2018.
@article{44e76c1b193d4af0b52a0fbf8eb75773,
title = "Transcatheter Aortic Valve Replacements: Current Trends and Future Directions",
abstract = "Since the 1960s when the first aortic surgical aortic valve replacement (SAVR) was performed, continuous growth in the field of valvular technology has occurred. Although SAVR remains a lifesaving procedure, minimally invasive transcatheter aortic valve replacement has revolutionized and expanded aortic valve replacement to patients who were not previously SAVR candidates, increasing their quality of life and survival. Since its introduction in the United States in 2011, the technology and practice have rapidly expanded. Hybrid techniques have been developed that combine surgical access to the vasculature with valvular deployment over transcatheter systems. This literature review aims to describe the differences between the current available valve technologies, review approaches to surgical technique, discuss anesthetic considerations, and look forward to future directions, trends, and challenges.",
keywords = "aortic stenosis, Medtronic, SAPIEN, transcatheter aortic valve replacement",
author = "Goeddel, {Lee A.} and Jessica Serini and Steyn, {Johannes W.} and Evans, {Adam S.} and Sanjay Dwarakanath and Harish Ramakrishna and John Augoustides and Brady, {Mary Beth}",
year = "2018",
month = "6",
day = "1",
doi = "10.1177/1089253218779389",
language = "English (US)",
journal = "Seminars in Cardiothoracic and Vascular Anesthesia",
issn = "1089-2532",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Transcatheter Aortic Valve Replacements

T2 - Current Trends and Future Directions

AU - Goeddel, Lee A.

AU - Serini, Jessica

AU - Steyn, Johannes W.

AU - Evans, Adam S.

AU - Dwarakanath, Sanjay

AU - Ramakrishna, Harish

AU - Augoustides, John

AU - Brady, Mary Beth

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Since the 1960s when the first aortic surgical aortic valve replacement (SAVR) was performed, continuous growth in the field of valvular technology has occurred. Although SAVR remains a lifesaving procedure, minimally invasive transcatheter aortic valve replacement has revolutionized and expanded aortic valve replacement to patients who were not previously SAVR candidates, increasing their quality of life and survival. Since its introduction in the United States in 2011, the technology and practice have rapidly expanded. Hybrid techniques have been developed that combine surgical access to the vasculature with valvular deployment over transcatheter systems. This literature review aims to describe the differences between the current available valve technologies, review approaches to surgical technique, discuss anesthetic considerations, and look forward to future directions, trends, and challenges.

AB - Since the 1960s when the first aortic surgical aortic valve replacement (SAVR) was performed, continuous growth in the field of valvular technology has occurred. Although SAVR remains a lifesaving procedure, minimally invasive transcatheter aortic valve replacement has revolutionized and expanded aortic valve replacement to patients who were not previously SAVR candidates, increasing their quality of life and survival. Since its introduction in the United States in 2011, the technology and practice have rapidly expanded. Hybrid techniques have been developed that combine surgical access to the vasculature with valvular deployment over transcatheter systems. This literature review aims to describe the differences between the current available valve technologies, review approaches to surgical technique, discuss anesthetic considerations, and look forward to future directions, trends, and challenges.

KW - aortic stenosis

KW - Medtronic

KW - SAPIEN

KW - transcatheter aortic valve replacement

UR - http://www.scopus.com/inward/record.url?scp=85048076212&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048076212&partnerID=8YFLogxK

U2 - 10.1177/1089253218779389

DO - 10.1177/1089253218779389

M3 - Article

C2 - 29871563

AN - SCOPUS:85048076212

JO - Seminars in Cardiothoracic and Vascular Anesthesia

JF - Seminars in Cardiothoracic and Vascular Anesthesia

SN - 1089-2532

ER -