Individual approach in the treatment of aortic stenosis with contemporary TAVI valves

The treatment of severe, symptomatic, aortic stenosis has changed in recent years. A medicaltechnological breakthrough was presented by the development of the TAVI (transcatheter aortic valve implantation) concept. Namely, earlier therapy included conventional, surgical replacement of the aortic valve on the one hand and, on the other hand, conservative, relatively effective balloon valvuloplasty in high-risk patients. Today, it is possible to help once inoperable patients as well as high-risk patients with transcatheter aortic valve implantation. Thanks to the recent development of medicine and technology, there are more TAVI systems available. Taking into account the conventional and medicinal therapeutic approach, the decision on the method of treatment can best be carried out by the HEART team (cardiologist, cardiac surgeon, radiologist, anesthesiologist). By carefully considering the anatomical and clinical characteristics of each individual patient, we can decide which type of aortic prosthesis provides the patient with the maximum therapeutic benefit. In the following text, the basic characteristics of the TAVI system, which, in accordance with the clinical results, are most often applied, as well as the characteristics of patients in whom TAVI is already indicated, will be listed.