The Incidence, Impact, and Techniques of Commissural Alignment in Transcatheter Aortic Valve Implantation: A Review

In current clinical practice, commissural alignment of the transcatheter heart valve (THV) during transcatheter aortic valve implantation (TAVI) is seldom achieved. Orientation of the THV within the aortic root and the subsequent influence upon leaflet haemodynamic function, coronary blood flow, and...

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Bibliographic Details
Published in:Journal of clinical medicine 2023-11, Vol.12 (23), p.7369
Main Authors: Paredes-Vazquez, Jose G, Tirado-Conte, Gabriela, Shabbir, Asad, Mon-Noboa, Matias, Chavez, Jorge F, Nuñez-Gil, Ivan, Jimenez-Quevedo, Pilar, Pozo-Osinalde, Eduardo, Gomez de Diego, Jose Juan, Salinas, Pablo, Mejia-Renteria, Hernan, Macaya, Fernando, de Agustin-Loeches, Jose Alberto, Gonzalo, Nieves, Escaned, Javier, Fernandez-Ortiz, Antonio, Nombela-Franco, Luis
Format: Article
Language:English
Subjects:
Aortic valve stenosis
Asymmetry
Cardiovascular disease
Cardiovascular instruments, Implanted
Care and treatment
Catheters
Clinical medicine
Clinical outcomes
Coronary vessels
Diagnosis
Health aspects
Hemodynamics
Life expectancy
Medical imaging
Patients
Prostheses
Thrombosis
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Summary:In current clinical practice, commissural alignment of the transcatheter heart valve (THV) during transcatheter aortic valve implantation (TAVI) is seldom achieved. Orientation of the THV within the aortic root and the subsequent influence upon leaflet haemodynamic function, coronary blood flow, and ease of access to the coronary ostia are gaining significant interest. Herein, we review the incidence and clinical implications of commissural misalignment in TAVI and offer thorough descriptions of how optimal alignment can be achieved with several different contemporary THV devices.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12237369