Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option

Aortic stenosis (AS) is the most common valvular heart disease. In the last decade, transcatheter aortic valve implantation (TAVI) has become the standard of care for symptomatic patients at high surgical risk. Recently, indications to TAVI have also been extended to the low surgical risk and interm...

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Autores principales:	Michele Pighi, Davide Giovannini, Roberto Scarsini, Nicolo Piazza
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	TAVI aortic stenosis work-up Medicine R
Acceso en línea:	https://doaj.org/article/79db3d5627b6422bb70c1a1c39124009
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spelling	oai:doaj.org-article:79db3d5627b6422bb70c1a1c391240092021-11-11T17:44:26ZDiagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option10.3390/jcm102151202077-0383https://doaj.org/article/79db3d5627b6422bb70c1a1c391240092021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5120https://doaj.org/toc/2077-0383Aortic stenosis (AS) is the most common valvular heart disease. In the last decade, transcatheter aortic valve implantation (TAVI) has become the standard of care for symptomatic patients at high surgical risk. Recently, indications to TAVI have also been extended to the low surgical risk and intermediate surgical risk populations. Consequently, in this setting, some aspects acquire greater relevance: surgical risk evaluation, clinical assessment, multimodality imaging of the valve, and management of coronary artery disease. Moreover, future issues such as coronary artery re-access and valve-in-valve interventions should be considered in the valve selection process. This review aims to summarize the principal aspects of a multidimensional (multidisciplinary) and comprehensive preprocedural work-up. The Heart Team is at the center of the decision-making process of the management of aortic valve disease and bears responsibility for offering each patient a tailored approach based on an individual evaluation of technical aspects together with the risks and benefits of each modality. Considering the progressive expansion in TAVI indication and technological progress, the role of a work-up and multidisciplinary Heart Team will be even more relevant.Michele PighiDavide GiovanniniRoberto ScarsiniNicolo PiazzaMDPI AGarticleTAVIaortic stenosiswork-upMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5120, p 5120 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	TAVI aortic stenosis work-up Medicine R
spellingShingle	TAVI aortic stenosis work-up Medicine R Michele Pighi Davide Giovannini Roberto Scarsini Nicolo Piazza Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option
description	Aortic stenosis (AS) is the most common valvular heart disease. In the last decade, transcatheter aortic valve implantation (TAVI) has become the standard of care for symptomatic patients at high surgical risk. Recently, indications to TAVI have also been extended to the low surgical risk and intermediate surgical risk populations. Consequently, in this setting, some aspects acquire greater relevance: surgical risk evaluation, clinical assessment, multimodality imaging of the valve, and management of coronary artery disease. Moreover, future issues such as coronary artery re-access and valve-in-valve interventions should be considered in the valve selection process. This review aims to summarize the principal aspects of a multidimensional (multidisciplinary) and comprehensive preprocedural work-up. The Heart Team is at the center of the decision-making process of the management of aortic valve disease and bears responsibility for offering each patient a tailored approach based on an individual evaluation of technical aspects together with the risks and benefits of each modality. Considering the progressive expansion in TAVI indication and technological progress, the role of a work-up and multidisciplinary Heart Team will be even more relevant.
format	article
author	Michele Pighi Davide Giovannini Roberto Scarsini Nicolo Piazza
author_facet	Michele Pighi Davide Giovannini Roberto Scarsini Nicolo Piazza
author_sort	Michele Pighi
title	Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option
title_short	Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option
title_full	Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option
title_fullStr	Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option
title_full_unstemmed	Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option
title_sort	diagnostic work-up of the aortic patient: an integrated approach toward the best therapeutic option
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/79db3d5627b6422bb70c1a1c39124009
work_keys_str_mv	AT michelepighi diagnosticworkupoftheaorticpatientanintegratedapproachtowardthebesttherapeuticoption AT davidegiovannini diagnosticworkupoftheaorticpatientanintegratedapproachtowardthebesttherapeuticoption AT robertoscarsini diagnosticworkupoftheaorticpatientanintegratedapproachtowardthebesttherapeuticoption AT nicolopiazza diagnosticworkupoftheaorticpatientanintegratedapproachtowardthebesttherapeuticoption
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Diagnostic Work-Up of the Aortic Patient: An Integrated Approach toward the Best Therapeutic Option

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