Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves

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Blackman , D , Gabbieri , D , Del Blanco , B G , Kempfert , J , Laine , M , Mascherbauer , J , Parma , R & Tchetche , D 2021 , ' Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves ' , Cardiology and therapy , vol. 10 , no. 2 , pp. 277-288 . https://doi.org/10.1007/s40119-021-00223-9

Title: Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves
Author: Blackman, Daniel; Gabbieri, Davide; Del Blanco, Bruno Garcia; Kempfert, Jorg; Laine, Mika; Mascherbauer, Julia; Parma, Radoslaw; Tchetche, Didier
Contributor organization: Clinicum
Helsinki University Hospital Area
Date: 2021-12
Language: eng
Number of pages: 12
Belongs to series: Cardiology and therapy
ISSN: 2193-8261
DOI: https://doi.org/10.1007/s40119-021-00223-9
URI: http://hdl.handle.net/10138/340468
Abstract: Severe aortic stenosis patients with bicuspid anatomy have been excluded from the major transcatheter aortic valve replacement (TAVI) randomized clinical trials. As a result, there is no official recommendation on bicuspid TAVI. A panel of bicuspid experts was created to fill this gap. In this consensus statement, an algorithm is proposed to guide the choice of surgery or TAVI within this complex patient population, depending on aortic dilatation, age, surgical risk score, and anatomy. A step-by-step guide for sizing and positioning of the SAPIEN 3/Ultra TAVI bioprostheses is presented. Annular sizing remains the primary strategy in most bicuspid patients. However, some anatomies may require sizing at the supra-annular level, for which patients the panel recommends the circle method, a dedicated sizing and positioning approach for SAPIEN 3/Ultra. The consensus provides valuable pre-operative insights on the interactions between SAPIEN 3/Ultra and the bicuspid anatomy; understanding the valve-anatomy relationship is critical to avoid complications and to optimize outcomes for patients.
Subject: Bicuspid aortic valve
TAVI
Bicuspid sizing
Bicuspid positioning
SAPIEN 3
Ultra
HEART-DISEASE
IMPLANTATION
GUIDELINES
MANAGEMENT
OUTCOMES
ESC
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion


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