Transcatheter Aortic Valve Implantation: Tips and Tricks to Avoid Failure

Table of contents :

Foreword……Page 6 Preface……Page 8 Contents……Page 10 Contributors……Page 14 1 The Anatomy of the Aortic Valvar Complex……Page 18 2 Accumulation of Worldwide Experience with Postmortem Studies of Transcatheter Aortic Valve Implantation—What Should We Be Avoiding?……Page 35 3 Imaging—How Can It Help Before Transcatheter Aortic Valve Implantation?……Page 57 4

Risk Stratification for Transcatheter Aortic Valve Implantation……Page 74 5 Patient Selection—Risk Assessment and Anatomical Selection Criteria for Patients Undergoing Transfemoral Aortic Valve Implantation with the Edwards SAPIEN Prosthetic Heart Valve……Page 81 6 Patient Selection for the CoreValve ReValving System……Page 99 7 CoreValve ReValving System for Percutaneous Aortic Valve Replacement……Page 111 8 The Edwards SAPIEN Transcatheter Aortic Heart Valve System……Page 119 9

Anesthesia for Transcatheter Aortic Valve Implantation……Page 132 10 Tips and Tricks During the Procedure: Options for Vascular Access (Femoral, Subclavian, Transaortic, and Transapical)……Page 143 11 Percutaneous Placement and Removal of Large Diameter Femoral Artery Sheaths with the Prostar XL Device……Page 154 12 Intraprocedural Imaging: Percutaneous Aortic Valve Replacement……Page 159 13 Tips and Tricks for Crossing the Aortic Valve with a Guidewire (Retrograde Approach)……Page 172 14 Preimplantation Percutaneous Aortic Balloon Valvotomy (Retrograde Approach)……Page 178 15

Advancing the Delivery System Across the Aorta and Valve (Edwards SAPIEN Valve)……Page 188 16 Advancing the Delivery System Across the Aorta and Valve (CoreValve)……Page 197 17 Implantation of the CoreValve ReValving System……Page 200 18 Implantation of the Edwards SAPIEN Valve……Page 215 19 Transapical Aortic Valve Implantation—Procedural Steps……Page 224 20 Complications at the Time of Transcatheter Aortic Valve Implantation……Page 235 21

Acute and Early Complications of Transcatheter Aortic Valve Implantation with the Balloon-Expandable Edwards System……Page 246 22 Complications of Transapical Aortic Valve Implantation: Tips and Tricks to Avoid Failure……Page 257 23 ICU Care……Page 270 24 Postdischarge and Follow-Up Care……Page 286 25 Tips and Tricks for Imaging Percutaneously Implanted Aortic Valve Prostheses……Page 292

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