Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks

Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with symptomatic severe aortic stenosis. In recent years, an emphasis has been placed on simplification of the procedure. Balloon predilation was initially considered a mandatory step to cross and prepare the sten...

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Autores principales:	Angela McInerney, Rafael Vera-Urquiza, Gabriela Tirado-Conte, Luis Marroquin, Pilar Jimenez-Quevedo, Iván Nuñez-Gil, Eduardo Pozo, Nieves Gonzalo, Jose Alberto de Agustín, Javier Escaned, Antonio Fernández-Ortiz, Carlos Macaya, Luis Nombela-Franco
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/42aa48db65dd4179867a27d1d3bf3e0a
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spelling	oai:doaj.org-article:42aa48db65dd4179867a27d1d3bf3e0a2021-12-04T16:05:01ZPre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks10.15420/icr.2020.351756-14851756-1477https://doaj.org/article/42aa48db65dd4179867a27d1d3bf3e0a2021-10-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2020.35https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with symptomatic severe aortic stenosis. In recent years, an emphasis has been placed on simplification of the procedure. Balloon predilation was initially considered a mandatory step to cross and prepare the stenotic aortic valve, but several studies demonstrated the feasibility of performing TAVR without balloon valvuloplasty. Balloon postdilation of the implanted valve is sometimes required to optimise results, although many patients do not require this step. Contemporary consensus advocates an individualised approach to TAVR procedures and so balloon pre- and post-dilation are performed selectively. This review aims to outline the advantages and disadvantages of balloon pre- and post-dilation and to identify the scenarios in which they are required during TAVR procedures.Angela McInerneyRafael Vera-UrquizaGabriela Tirado-ConteLuis MarroquinPilar Jimenez-QuevedoIván Nuñez-GilEduardo PozoNieves GonzaloJose Alberto de AgustínJavier EscanedAntonio Fernández-OrtizCarlos MacayaLuis Nombela-FrancoRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 16, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Angela McInerney Rafael Vera-Urquiza Gabriela Tirado-Conte Luis Marroquin Pilar Jimenez-Quevedo Iván Nuñez-Gil Eduardo Pozo Nieves Gonzalo Jose Alberto de Agustín Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Luis Nombela-Franco Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks
description	Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with symptomatic severe aortic stenosis. In recent years, an emphasis has been placed on simplification of the procedure. Balloon predilation was initially considered a mandatory step to cross and prepare the stenotic aortic valve, but several studies demonstrated the feasibility of performing TAVR without balloon valvuloplasty. Balloon postdilation of the implanted valve is sometimes required to optimise results, although many patients do not require this step. Contemporary consensus advocates an individualised approach to TAVR procedures and so balloon pre- and post-dilation are performed selectively. This review aims to outline the advantages and disadvantages of balloon pre- and post-dilation and to identify the scenarios in which they are required during TAVR procedures.
format	article
author	Angela McInerney Rafael Vera-Urquiza Gabriela Tirado-Conte Luis Marroquin Pilar Jimenez-Quevedo Iván Nuñez-Gil Eduardo Pozo Nieves Gonzalo Jose Alberto de Agustín Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Luis Nombela-Franco
author_facet	Angela McInerney Rafael Vera-Urquiza Gabriela Tirado-Conte Luis Marroquin Pilar Jimenez-Quevedo Iván Nuñez-Gil Eduardo Pozo Nieves Gonzalo Jose Alberto de Agustín Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Luis Nombela-Franco
author_sort	Angela McInerney
title	Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks
title_short	Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks
title_full	Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks
title_fullStr	Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks
title_full_unstemmed	Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks
title_sort	pre-dilation and post-dilation in transcatheter aortic valve replacement: indications, benefits and risks
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/42aa48db65dd4179867a27d1d3bf3e0a
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Pre-dilation and Post-dilation in Transcatheter Aortic Valve Replacement: Indications, Benefits and Risks

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