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Current Cardiology Reports
Erschienen in: Current Cardiology Reports 9/2020

01.09.2020 | Structural Heart Disease (RJ Siegel and NC Wunderlich, Section Editors)

Can TAVR Be Effectively and Safely Performed Without Intraprocedural TEE?

verfasst von: Livia Gheorghe, Jorn Brouwer, Alejandro Gutierrez, Benno J. W. M. Rensing, Bushra S. Rana, Jurrien M. ten Berg, Frank D. Eefting, Leo Timmers, Martin J. Swaans

Erschienen in: Current Cardiology Reports | Ausgabe 9/2020

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Abstract

Purpose of Review

The TAVR procedure is a well-established therapy for patients with severe aortic stenosis at intermediate/high risk for surgery and a potential treatment for low-risk patients. It is much less invasive with short hospital stays and presents similar results compared with SAVR. Different “minimalist approach strategies” were proposed in order to obtain this performance. In these settings, transesophageal echocardiography (TEE) became less relevant for the TAVR procedure. The present review provides an update regarding the safety of TAVR without intraprocedural TEE.

Recent Findings

Transthoracic echocardiography and fluoroscopy are the primary imaging tools during TAVR. Several studies proved that TAVR under local anesthesia without TEE is as safe as that performed under TEE guidance. However, not all patients have a proper window for TTE, and particular cases with complex anatomy can benefit from TEE support during the intervention.

Summary

Intraprocedural TEE no longer plays a crucial role in the TAVR procedure, but in some instances, it remains of great help to detect and avoid complications.
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Metadaten
Titel
Can TAVR Be Effectively and Safely Performed Without Intraprocedural TEE?
verfasst von
Livia Gheorghe
Jorn Brouwer
Alejandro Gutierrez
Benno J. W. M. Rensing
Bushra S. Rana
Jurrien M. ten Berg
Frank D. Eefting
Leo Timmers
Martin J. Swaans
Publikationsdatum
01.09.2020
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 9/2020
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-020-01344-8

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