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Transcatheter aortic valve implantation: from fantasy to reality

Increased life expectancy has led to the presentation of more complicated patients in old age for the replacement of the aortic valve. The emergence of Transcatheter Aortic Valve Implantation (TAVI) was considered as a significant breakthrough in the management of symptomatic, moribund patients suff...

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Detalles Bibliográficos
Autores principales: Shaikhrezai, Kasra, McWilliams, Billy, Brackenbury, Edward T, Prasad, Sai, Yan, Tristan D, Pessotto, Renzo, Zamvar, Vipin, Berg, Geoffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995889/
https://www.ncbi.nlm.nih.gov/pubmed/24602509
http://dx.doi.org/10.1186/1749-8090-9-43
Descripción
Sumario:Increased life expectancy has led to the presentation of more complicated patients in old age for the replacement of the aortic valve. The emergence of Transcatheter Aortic Valve Implantation (TAVI) was considered as a significant breakthrough in the management of symptomatic, moribund patients suffering from aortic valve stenosis who had been rejected for surgical intervention. A novel technology often has a long journey from the point at which it is created to its every-day-use. It is now obvious that TAVI practice in multiple institutes around the world has gone beyond the evidence. Serious concerns have been raised questioning the current TAVI practice. Analysis of future TAVI use may assist clinicians and healthcare managers to understand and deploy this technology in accordance with the evidence.