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Percutaneous Valve Replacement: Where Do We Stand? Where Are We Going?

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Author
Roach, Emir Charles
Gezgen, Gamze
Gezgen, Baki
Type
Article
Date
2010
Language
en_US
Metadata
Show full item record
Abstract
Background: Percutaneous valve replacement is a relatively new treatment modality that is rapidly growing in application. Aim&Objectives: Percutaneous treatment of valve diseases has been an alternative to open surgery since the early 1980's. In patients with mitral and aortic stenosis, use of percutaneous catheter-based techniques as balloon valvuloplasty has been a good therapeutic option. Later on, percutaneous aortic valve replacement was demonstrated in the 1990s in vitro, followed by successful in vivo applications. Although these techniques have difficulties such as paravalvular leakage difficulty in deployment; migration of valved stent; percutaneous valve replacement is currently one of the most researched and actively debated subjects in interventional cardiology. In this study we are aiming to review the current state and evaluate the pros and cons of this new treatment modality. Methods/Study Design: We enumerated the pros and cons from different perspectives, referenced and discussed them from articles that were obtained through Pubmed. Results and Findings: Percutaneous valve replacement procedures offer substantial advantages to patients. The reducing of surgical risks, the fact that the procedures are less invasive in comparison to open heart surgery, and that rehabilitation times are shorter are positive aspects [2]. However, there are complications such as paravalvular leakage difficulty in deployment; migration of valved stent, that needed to be taken into consideration and the selection of patients for the procedure needs improvement. Study Limitations: Percutaneous valve replacement is a relatively new treatment modality, few publications exist for consideration. Conclusion: With 12 different kinds of valves available for use, and improvement in patient selection, we expect to see an increase in percutaneous valve replacements worldwide.
Subject
Percutaneous Valve Replacement
Mitral Aortic
correct mitral-insufficiency
to-edge technique
aortic-valve
pulmonary valve
transcatheter implantation
clinical-experience
natural-history
repair
regurgitation
stenosis
Perkütan Vana Değişimi
mitral aort
Doğru mitral-yetersizliği
pulmoner kapak
transkateter implantasyonu
Klinik-deneyim
doğal tarih
onarım
yetersizlik
darlık
URI
http://hdl.handle.net/11413/1354
Collections
  • Makaleler / Articles [140]
  • Scopus Publications [724]
  • WoS Publications [1016]

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İstanbul Kültür University

Hakkında |Politika | Kütüphane | İletişim | Send Feedback | Admin

Istanbul Kültür University, Ataköy Campus E5 Karayolu Üzeri Bakırköy 34158, İstanbul / TURKEY
Copyright © İstanbul Kültür University

Creative Commons Lisansı
IKU Institutional Repository, Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Designed by  UNIREPOS