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Transcatheter aortic valve therapy is not aortic valve replacement

Portoghese, Michele (2009) Transcatheter aortic valve therapy is not aortic valve replacement. The Annals of Thoracic Surgery, Vol. 88 (6), p. 2071-2072. eISSN 1552-6259. Article.

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DOI: 10.1016/j.athoracsur.2009.06.100

Abstract

I read with interest the increasing number of scientific articles involving transcatheter aortic valve replacement.
The meaning of the term “replacement” is to substitute something with something else. Yet, at present, the only way to substitute a stenotic aortic valve is to take away the calcific or fibrotic tissue and put in a new prosthetic valve, which is a surgical (traditional or minimally invasive) approach.
I believe this is not merely a semantic question. As a matter of fact, the presence of the native valve left in situ could be one of the major potential issues affecting the outcome of the transcatheter procedures: peri-procedural risk of stroke and perivalvular leak or infection could be highly related to this aspect.
For these reasons, I believe that the transcatheter procedure could be defined as “implant, insertion, overlapping or therapy,” but not as aortic valve replacement.

Item Type:Article
ID Code:5705
Status:Published
Refereed:Yes
Uncontrolled Keywords:Aortic valve therapy, heart valve replacement, prosthesis implantation
Subjects:Area 06 - Scienze mediche > MED/11 Malattie dell'apparato cardiovascolare
Divisions:002 Altri enti e centri di ricerca del Nord Sardegna > Azienda ASL1, Sassari > Ospedale civile SS. Annunziata > Ambulatorio chirurgia
Publisher:Elsevier
eISSN:1552-6259
Copyright Holders:© 2009 The Society of Thoracic Surgeons
Deposited On:07 Mar 2011 17:20

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