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Transcatheter Aortic Valve Implantation
- 1st Edition - August 27, 2022
- Editors: Catherine M. Otto, Bernard D Prendergast, Simon Redwood
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 5 7 9 2 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 7 9 4 - 2
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 7 9 3 - 5
Written and edited by an outstanding team of experts in the field, Transcatheter Aortic Valve Implantation offers a multidisciplinary approach to this rapidly expanding procedure.… Read more
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Request a sales quoteWritten and edited by an outstanding team of experts in the field, Transcatheter Aortic Valve Implantation offers a multidisciplinary approach to this rapidly expanding procedure. Recent studies have shown transcatheter aortic valve implantation (TAVI) to be as effective as surgical aortic valve repair (SAVR), with demonstrably better outcomes for low, intermediate, and high-risk patients. Under the editorial leadership of Drs. Catherine M. Otto, Bernard D. Prendergast, and Simon Redwood, this practical reference incorporates recent research on patient selection, discusses current guidelines, and covers the new devices developed to address this fast-growing area.
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Follows the patient journey from indications, patient selection for TAVI, choice of valve, and pre-TAVI evaluation through the procedure itself, complications, and long-term outcomes—all with a multidisciplinary team approach.
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Features consistent headings and user-friendly content in every chapter: Checklists, Decision Pathways, Data/Evidence Summaries, and Essential Readings.
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Contains multidisciplinary TAVI Decision Pathways that provide a uniquely visual yet comprehensive approach for quick retrieval and application of all the latest clinical implications for TAVI.
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Includes the latest evidence-based data on TAVI vs. SAVR from the new AHA/ACC guidelines and implications for practice.
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Provides clear visual guidance with 150 pre-, intra-, and post-imaging illustrations, plus 50 TAVI procedural video clips.
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Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- Glossary
- List of Tables
- List of Illustrations
- Section I. Indications for Transcatheter Aortic Valve Implantation and the Heart Valve Team Approach
- 1. Aortic valve intervention: Indications, timing, and choice of transcatheter aortic valve implantation versus surgical aortic valve replacement
- Indications for aortic valve intervention
- Optimal timing of aortic valve intervention in specific subsets
- Choice of TAVI or SAVR
- Essential reading
- 2. Transcatheter aortic valve implantation program development to support patient-centered care
- TAVI center structure
- Quality metrics, standards, and improvement
- Patient-centered care and shared decision-making
- Examples of patient-specific considerations
- Conclusions
- Essential reading
- 3. Patient selection
- Introduction
- Comprehensive clinical assessment
- Surgical and transcatheter risk scoring in the modern era
- Frailty assessment in TAVI: Why and how?
- Optimizing patient assessment to avoid futility
- Integrated benefit/risk analysis and decision-making pathway
- Essential reading
- Section II. Procedural Planning
- 4. Preprocedural imaging
- Introduction
- Echocardiographic assessment and diagnosis of severe aortic stenosis
- Low-flow low-gradient aortic stenosis2
- Aortic regurgitation1
- Dedicated cardiac MSCT for comprehensive aortic annulus assessment
- Vascular access
- TAVI MSCT incidental findings20,21
- Reporting a TAVI MSCT scan
- Conclusions
- Essential reading
- 5. Diagnosis and management of concurrent cardiac disease: Coronary disease, dilated ascending aorta, and mitral and tricuspid valve disease
- Coronary artery disease
- Prevalence, assessment, and clinical impact of aortic dilation
- Concomitant valve disease
- Essential reading
- 6. Characteristics and selection of transcatheter aortic valve prostheses
- Key features of transcatheter valves
- Technical descriptions of specific transcatheter aortic valves
- Anatomic considerations
- Challenging clinical situations
- Essential reading
- 7. Access options for transcatheter aortic valve implantation
- Introduction
- Transfemoral access
- Nonfemoral access
- Essential reading
- Section III. Transcatheter Aortic Valve Implantation Procedure
- 8. Sedation and anesthetic support
- Conscious sedation
- General anesthesia
- Monitoring
- General anesthesia versus conscious sedation
- Transesophageal echocardiography
- What is the role of the anesthetist within the heart team?
- What does the operator expect from the anesthetist?
- Future perspectives
- Essential reading
- 9. Cerebral protection
- Introduction
- Stroke after TAVI
- Cerebral protection devices
- Conclusions
- Essential reading
- 10. Transcatheter aortic valve implantation: Procedural details
- Introduction
- Alignment of the three cusps and implant projections
- Aortic valve crossing and stiff wire placement
- Balloon aortic valvuloplasty
- Transcatheter aortic valves deployment description
- Essential reading
- 11. Vascular closure
- Introduction
- Transfemoral access and percutaneous closure
- Surgical closure
- Further tips and tricks for successful closure
- Essential reading
- 12. Advanced indications for transcatheter valve implantation
- Bicuspid aortic valve disease
- Aortic regurgitation
- Bioprosthetic valves (valve-in-valve TAVI)
- Coronary artery obstruction
- Transcatheter mitral valve implantation
- Transcatheter tricuspid valve implantation
- Essential reading
- 13. Transcatheter aortic valve implantation–related procedural and device complications
- Vascular complications
- Excessive bleeding
- Coronary occlusion
- Device migration and embolization
- Paravalvular leak
- Periprocedural stroke
- Fever/sepsis
- Essential reading
- Section IV. Long-Term Outcomes and Complications
- 14. Arrhythmias and pacemaker implantation
- Epidemiology and predictors of atrial fibrillation in TAVI patients
- Impact of atrial fibrillation in TAVI outcomes
- Management of TAVI patients with atrial fibrillation
- Incidence and impact of ventricular arrhythmias in TAVI patients
- Incidence of conduction disturbances
- Timing of onset and evolution
- Pathophysiology of conduction abnormalities
- Predictors of conduction abnormalities
- Impact of LBBB and PPM implantation after TAVI
- Management of patients with conduction abnormalities
- Essential reading
- 15. Antithrombotic therapy and recommended follow-up
- Antithrombotic therapy after TAVI
- Clinical follow-up after TAVI
- Imaging follow-up after TAVI
- Essential reading
- 16. Long-term outcomes and valve durability
- Background
- Long-term outcomes after TAVI in aortic stenosis
- Outcomes after TAVI in valve-in-valve, bicuspid aortic valve disease, and aortic regurgitation
- Causes and mechanisms of TAVI degeneration
- Definitions of structural valve degeneration
- Bioprosthesis durability
- Essential reading
- Index
- No. of pages: 320
- Language: English
- Edition: 1
- Published: August 27, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323757928
- eBook ISBN: 9780323757942
- eBook ISBN: 9780323757935
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Catherine M. Otto
Dr. Catherine Otto is currently the J. Ward Kennedy-Hamilton Endowed Chair in Cardiology and Professor of Medicine at the University of Washington School of Medicine in Seattle, Washington. She is also Editor-in-Chief of the journal Heart, published by the BMJ and the British Cardiovascular Society. Formerly head of the fellowship program at the University of Washington she is a highly prolific author with solid experience in teaching echocardiography skills and applications.
Affiliations and expertise
Editor-in-Chief, Heart, J. Ward Kennedy-Hamilton Endowed Chair in Cardiology, Professor of Medicine, University of Washington, Seattle, WashingtonBP
Bernard D Prendergast
Affiliations and expertise
Department of Cardiology
St Thomas’ HospitalSR
Simon Redwood
Affiliations and expertise
Department of Cardiology, St Thomas’ Hospital