Diagnostics (May 2023)

Hemodynamic Performance of Transcatheter Aortic Valves: A Comprehensive Review

  • Domenico Angellotti,
  • Rachele Manzo,
  • Domenico Simone Castiello,
  • Maddalena Immobile Molaro,
  • Andrea Mariani,
  • Cristina Iapicca,
  • Dalila Nappa,
  • Fiorenzo Simonetti,
  • Marisa Avvedimento,
  • Attilio Leone,
  • Mario Enrico Canonico,
  • Carmen Anna Maria Spaccarotella,
  • Anna Franzone,
  • Federica Ilardi,
  • Giovanni Esposito,
  • Raffaele Piccolo

DOI
https://doi.org/10.3390/diagnostics13101731
Journal volume & issue
Vol. 13, no. 10
p. 1731

Abstract

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Transcatheter aortic valve implantation (TAVI) is a widely adopted treatment option for patients with severe aortic stenosis. Its popularity has grown significantly in recent years due to advancements in technology and imaging. As TAVI use is increasingly expanded to younger patients, the need for long-term assessment and durability becomes paramount. This review aims to provide an overview of the diagnostic tools to evaluate the hemodynamic performance of aortic prosthesis, with a special focus on the comparison between transcatheter and surgical aortic valves and between self-expandable and balloon-expandable valves. Moreover, the discussion will encompass how cardiovascular imaging can effectively detect long-term structural valve deterioration.

Keywords