Interpretation of 2015 <b><i>Experts Consensus for Transcatheter Aortic Valve Replacement</i></b>_West China Medical Journal

Authors：

 HAN Yaling ¹ , XU Kai ¹ , CHEN Mao ²

1. Department of Cardiology, the General Hospital of Shenyang Military, Shenyang, Liaoning 110016, P. R. China;
2. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HAN Yaling, Email: hanyalingnh@163.com

Keywords：

Transcatheter aortic valve replacement; Bicuspid aortic valve; Indication; Complication; Consensus; Interpretation

DOI：

10.7507/1002-0179.201801153

Video：

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Transcatheter aortic valve replacement (TAVR) developed rapidly since firstly introduced to clinical practice in 2002. In 2015, Experts Consensus for Transeatheter Aortic Valve Replacement (abbreviated as the Consensus) helped TAVR develop normatively and safely in China. This article interpreted the Consensus in combination of new evolutions of TAVR field: first, the indications of TAVR expand from inoperative and high risk patients to the intermediate risk patients; second, although the Consensus recommended pre-dilation with balloon of modest size, the necessity of pre-dilation is under debate; third, the Consensus pointed out main complications of TAVR, and the main strategies to avoid complications are careful pre-procedural analysis and development of new device; fourth, our experts had made outstanding contribution to TAVR in the treatment of patients with bicuspid aortic valve, which still has many problems to be solved urgently.

Citation： HAN Yaling, XU Kai, CHEN Mao. Interpretation of 2015 Experts Consensus for Transcatheter Aortic Valve Replacement. West China Medical Journal, 2018, 33(2): 154-156. doi: 10.7507/1002-0179.201801153 Copy

1.	Conte JV, Gleason TG, Resar JR, et al. Transcatheter or surgical aortic valve replacement in patients with prior coronary artery bypass grafting. Ann Thorac Surg, 2016, 101(1): 72-79.
2.	中国医师协会心血管内科医师分会结构性心脏病专业委员会, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 2015, 23(12): 661-667.
3.	Leon MB, Smith CR, Mack MJ, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med, 2016, 374(17):1609-1620.
4.	Reardon MJ, Van Mieghem NM, Popma JJ, et al. Surgical or transcatheter aortic-valve replacement in intermediate-risk patients. N Engl J Med, 2017, 376(14): 1321-1331.
5.	Barker CM, Reardon MJ. Should TAVR replace surgery for aortic stenosis in low-to intermediate-risk patients?. Can J Cardiol, 2017, 33(9): 1124-1128.
6.	Liao YB, Meng Y, Zhao ZG, et al. Meta-Analysis of the effectiveness and safety of transcatheter aortic valve implantation without balloon predilation. Am J Cardiol, 2016, 117(10): 1629-1635.
7.	Ben-Dor I, Stewart A. A cautionary tale of 2 leaflets TAVR in bicuspid aortic valve stenosis. J Am Coll Cardiol, 2017, 69(21): 2590-2591.
8.	Li Y, Wei X, Zhao Z, et al. Prevalence and complications of bicuspid aortic valve in Chinese according to echocardiographic database. Am J Cardiol, 2017, 120(2): 287-291.
9.	Jilaihawi H, Wu Y, Yang Y, et al. Morphological characteristics of severe aortic stenosis in China: imaging corelab observations from the first Chinese transcatheter aortic valve trial. Catheter Cardiovasc Interv, 2015, 85(Suppl1): 752-761.
10.	Zhao ZG, Jilaihawi H, Feng Y, et al. Transcatheter aortic valve implantation in bicuspid anatomy. Nat Rev Cardiol, 2015, 12(2): 123-128.
11.	Liao YB, Li YJ, Xiong TY, et al. Comparison of procedural, clinical and valve performance results of transcatheter aortic valve replacement in patients with bicuspid versus tricuspid aortic stenosis. Int J Cardiol, 2018: 254: 69-74.
12.	Chen M, Feng Y, Mazzitelli D, et al. Transcatheter aortic valve implantation in a patient with severe bicuspid aortic valve stenosis and ascending aortic aneurysm. JACC Cardiovasc Interv, 2014, 7(7): E83-E84.
13.	Liu XB, Jiang JB, Zhou QJ, et al. Evaluation of the safety and efficacy of transcatheter aortic valve implantation in patients with a severe stenotic bicuspid aortic valve in a Chinese population. J Zhejiang Univ Sci B, 2015, 16(3): 208-214.
14.	Xiong TY, Zheng MX, Wei X, et al. Hemodynamic changes after transcatheter aortic valve implantation during sequential follow-ups in patients with bicuspid aortic valve compared with tricuspid aortic valve. Cardiol J, 2017, 24(4): 350-357.

1. Conte JV, Gleason TG, Resar JR, et al. Transcatheter or surgical aortic valve replacement in patients with prior coronary artery bypass grafting. Ann Thorac Surg, 2016, 101(1): 72-79.
2. 中国医师协会心血管内科医师分会结构性心脏病专业委员会, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 2015, 23(12): 661-667.
3. Leon MB, Smith CR, Mack MJ, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med, 2016, 374(17):1609-1620.
4. Reardon MJ, Van Mieghem NM, Popma JJ, et al. Surgical or transcatheter aortic-valve replacement in intermediate-risk patients. N Engl J Med, 2017, 376(14): 1321-1331.
5. Barker CM, Reardon MJ. Should TAVR replace surgery for aortic stenosis in low-to intermediate-risk patients?. Can J Cardiol, 2017, 33(9): 1124-1128.
6. Liao YB, Meng Y, Zhao ZG, et al. Meta-Analysis of the effectiveness and safety of transcatheter aortic valve implantation without balloon predilation. Am J Cardiol, 2016, 117(10): 1629-1635.
7. Ben-Dor I, Stewart A. A cautionary tale of 2 leaflets TAVR in bicuspid aortic valve stenosis. J Am Coll Cardiol, 2017, 69(21): 2590-2591.
8. Li Y, Wei X, Zhao Z, et al. Prevalence and complications of bicuspid aortic valve in Chinese according to echocardiographic database. Am J Cardiol, 2017, 120(2): 287-291.
9. Jilaihawi H, Wu Y, Yang Y, et al. Morphological characteristics of severe aortic stenosis in China: imaging corelab observations from the first Chinese transcatheter aortic valve trial. Catheter Cardiovasc Interv, 2015, 85(Suppl1): 752-761.
10. Zhao ZG, Jilaihawi H, Feng Y, et al. Transcatheter aortic valve implantation in bicuspid anatomy. Nat Rev Cardiol, 2015, 12(2): 123-128.
11. Liao YB, Li YJ, Xiong TY, et al. Comparison of procedural, clinical and valve performance results of transcatheter aortic valve replacement in patients with bicuspid versus tricuspid aortic stenosis. Int J Cardiol, 2018: 254: 69-74.
12. Chen M, Feng Y, Mazzitelli D, et al. Transcatheter aortic valve implantation in a patient with severe bicuspid aortic valve stenosis and ascending aortic aneurysm. JACC Cardiovasc Interv, 2014, 7(7): E83-E84.
13. Liu XB, Jiang JB, Zhou QJ, et al. Evaluation of the safety and efficacy of transcatheter aortic valve implantation in patients with a severe stenotic bicuspid aortic valve in a Chinese population. J Zhejiang Univ Sci B, 2015, 16(3): 208-214.
14. Xiong TY, Zheng MX, Wei X, et al. Hemodynamic changes after transcatheter aortic valve implantation during sequential follow-ups in patients with bicuspid aortic valve compared with tricuspid aortic valve. Cardiol J, 2017, 24(4): 350-357.

West China Medical Journal

Interpretation of 2015 Experts Consensus for Transcatheter Aortic Valve Replacement

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