Key result
Transcatheter aortic valve replacement is increasingly utilized in patients with complex anatomical features like bicuspid aortic valves, though optimal management remains largely operator-dependent.
Why the study?
As TAVR expands to all risk groups, many patients present with challenging anatomies historically considered contraindications, necessitating discussion of clinical obstacles with an emphasis on bicuspid aortic valve disease.
TAVR can be successfully performed in patients with challenging anatomies, including bicuspid valves and pure aortic regurgitation, provided careful preprocedural planning and appropriate device selection are utilized.
Operator dependence in complex TAVR warrants individualized planning; leaves open standardization of techniques for bicuspid valves.
Transcatheter aortic valve replacement has emerged as the standard treatment for the majority of patients with symptomatic aortic stenosis. As transcatheter aortic valve replacement expands to patients across all risk groups, optimal patient selection strategies and device implantation techniques become increasingly important. A significant number of patients referred for transcatheter aortic valve replacement present with challenging anatomies and clinical indications that had been historically considered a contraindication for transcatheter aortic valve replacement. This article aims to highlight and discuss some of the potential obstacles that are encountered in clinical practice with a particular emphasis on bicuspid aortic valve disease.
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Saad et al. (2021) conducted a review in Aortic stenosis with challenging anatomies. Transcatheter aortic valve replacement (TAVR) was evaluated. Transcatheter aortic valve replacement is increasingly utilized in patients with complex anatomical features like bicuspid aortic valves, though optimal management remains largely operator-dependent.
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