학술논문
The Incidence, Impact, and Techniques of Commissural Alignment in Transcatheter Aortic Valve Implantation: A Review
Document Type
article
Author
Jose G. Paredes-Vazquez; Gabriela Tirado-Conte; Asad Shabbir; Matias Mon-Noboa; Jorge F. Chavez; Ivan Nuñez-Gil; Pilar Jimenez-Quevedo; Eduardo Pozo-Osinalde; Jose Juan Gomez de Diego; Pablo Salinas; Hernan Mejia-Renteria; Fernando Macaya; Jose Alberto de Agustin-Loeches; Nieves Gonzalo; Javier Escaned; Antonio Fernandez-Ortiz; Luis Nombela-Franco
Source
Journal of Clinical Medicine, Vol 12, Iss 23, p 7369 (2023)
Subject
Language
English
ISSN
2077-0383
Abstract
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.