Key result
Pre-emptive TAVR enables successful bridging to LVAD implantation in end-stage ischemic cardiomyopathy.
Why the study?
The use of transcatheter aortic valve replacement as a minimally invasive bridge to left ventricular assist device implantation in patients with end-stage ischemic cardiomyopathy and native aortic valve disease was not well described.
Can transcatheter aortic valve replacement serve as an effective bridge to left ventricular assist device implantation in patients with end-stage ischemic cardiomyopathy and aortic valve disease?
Case Report (n=1)
Can transcatheter aortic valve replacement serve as an effective bridge to left ventricular assist device implantation in patients with end-stage ischemic cardiomyopathy and aortic valve disease?
TAVR can be utilized as a minimally invasive bridge to LVAD implantation in patients with end-stage heart failure and concomitant aortic valve disease, avoiding the need for surgical valve intervention.
May support pre-emptive TAVR as LVAD bridge in select cases; hypothesis-generating and requires prospective validation.
We describe a case of the pre-emptive use of transcatheter aortic valve replacement in a patient with end-stage ischemic cardiomyopathy and native aortic stenosis/aortic insufficiency as a bridge to left ventricular assist device implantation. The use of this strategy can not only medically optimize patients before left ventricular assist device implantation but also provide a minimally invasive bridge to left ventricular assist device support, avoiding concomitant surgical aortic valve replacement or closure.
No takes yet. Share an insight, caveat, or question.
Elmously et al. (2018) conducted a case report in End-stage ischemic cardiomyopathy and native aortic stenosis/aortic insufficiency (n=1). Transcatheter aortic valve replacement was evaluated. Pre-emptive transcatheter aortic valve replacement was successfully used as a minimally invasive bridge to left ventricular assist device implantation in a patient with end-stage ischemic cardiomyopathy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: