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Transcatheter aortic valve implantation (TAVI) was introduced about 15 years ago as an alternative to surgical valve replacement in patients at prohibitive operating risk, and is now a consolidated treatment also for lower surgical risk categories of patients. An increasing use of TAVI in even lower risk categories and to younger people is expected shortly. This makes mandatory the search for optimal procedural results. To the achievement of this goal certainly contributed the increasing experience of the operators and the enormous technological improvement, with the development of more performing prostheses with a lower profile, which drastically reduce the risks of periprocedural complications. Yet, complex clinical and anatomical features may still deeply affect the immediate and log-term outcomes after TAVI. This book was designed to address these complex scenarios, with the main objective of providing useful insights from and to expert interventional cardiologists to further optimize clinical outcomes in patients undergoing TAVI.
Transcatheter aortic valve implantation (TAVI): current indications and future scenarios
T. Palmerini, A.G. Bruno
Management of complex peripheral access: tortuosity, small diameter, severe calcifications
T. Piva, R. Fattori
Management of vascular complications: materials and techniques
R. Nerla, A. Micari, A. Cremonesi, F. Castriota
Coronary protection: when and how to do it
N. Buzzatti, A. Latib, A. Colombo
Evaluation and management of pre-existing coronary disease
R. Scarsini, A. Piccoli, M. Pighi, F. Ribichini
Severe calcification of annulus, left ventricular outflow tract and coronary cusps
L. Losi, V. Guiducci, A. Menozzi, L. Vignali
Bicuspid aortic valve: from correct sizing to procedural success
M. Napodano, C. Fraccaro, G. Tarantini
TAVI valve-in-valve for small-diameter degenerated surgical bioprostheses
F. Meucci, M. Stolcova, G. Squillantini, N. Chiriatti, F. Ristalli, C. Agostini, C. Sorini Dini, C. Di Mario
TAVI for pure aortic regurgitation
F. Bedogni, M. Casenghi, L. Testa, N. Brambilla, M. Agnifi li, F. De Marco
TAVI in the setting of acutely decompensated aortic stenosis patients
F. Burzotta, G. Russo, C. Aurigemma, C. Trani
Mitral and tricuspid transcatheter heart valve implantation
C. Savini, G. Folesani
TAVI for degenerated transcatheter heart valves
M. Barbanti, C. Tamburino
Patients with associated heart valve disease: pathophysiology, clinical evaluation, and therapeutic strategies
A.A. Vecchia, F. Lanni, E. Di Lorenzo
Management of paravalvular leaks after TaVi
F. De Marco, M. Casenghi, L. Testa, N. Brambilla, M. Agnifili, F. Bedogni
Antithrombotic therapy and transcatheter aortic valve implantation
D. Capodanno, C. Tamburino
Troubleshooting: clinical cases parade - TAVI valve-in-valve in a failing Freestyle Root with high-risk of coronary obstruction
M. Stolcova, F. Meucci, G. Squillantini, N. Chiriatti, F. Ristalli, C. Di Mario
Troubleshooting: clinical cases parade - Transfemoral valve-in-valve for severe aortic regurgitation in a patient with very high risk of coronary occlusion
C. Moretti, C. Marcelli, T. Palmerini, F. Saia
Troubleshooting: clinical cases parade - Transfemoral TAVI in heavily calcified iliac arteried facilitated by percutaneous lithoplasty
M. Stolcova, F. Meucci, G. Squillantini, N. Chiriatti, F. Ristalli, C. Di Mario
Troubleshooting: clinical cases parade - Transfemoral TAVI in severe calcified aortic anulus with high risk of rupture
C. Moretti, C. Marcelli, M. Chiarabelli, C. Marozzini, T. Palmerini, F. Saia
Troubleshooting: clinical cases parade - Successful percutaneous implantation of Symetis Acurate Neo transcatheter aortic bioprosthesis for the treatment of pure aortic regurgitation
A.G. Cerillo, M. Ravani, G. Trianni, M. Mariani, A. Al Jabri, S. Berti
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