Implante de Valva Aórtica Transcateter Online (Transcatheter Aortic Valve Implantation)

¨O implante de valva aórtica transcateter (TAVI, do inglês transcatheter aortic valve implantation) constitui tratamento alternativo para pacientes com estenose aórtica de alto risco cirúrgico ou inoperáveis. A indicação de implante por cateter de prótese aórtica (TAVI, do inglês transcatheter aortic valve implantation) já encontra-se estabelecida em diretrizes nacionais e internacionais para o tratamento das valvopatias. Recomenda-se que o TAVI seja o tratamento de escolha para pacientes portadores de estenose aórtica grave e considerados inoperáveis (classe I, nível de evidência B) e que deva ser considerado uma estratégia alternativa à cirurgia de troca valvular naqueles indivíduos com alto risco cirúrgico (classe IIa, nível de evidência B). Estimativas apontam que mais de 100 mil pacientes já tenham sido tratados em todo o mundo, e os resultados atuais em centros com vasta experiência demonstraram elevadas taxas de sucesso do procedimento (acima de 95%), com índices de mortalidade aos 30 dias < 5%. O TAVI deve ser desenvolvido dentro de um programa para o tratamento da estenose aórtica, e não encarado meramente como um procedimento.¨

■ Comparison of transcatheter aortic valve implantation with other approaches to treat aortic valve stenosis: a systematic review and meta-analysis

G Wagner, S Steiner, G Gartlehner et al

Systematic Reviews 2019, vol 8: 44

https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-019-0954-3

■ Aortic stenosis and transcatheter aortic valve implantation

Kim C, Hong MK.

Korean Circ J. 2019 Apr;49(4):283-297.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428950/

■ Papel da Avaliação Aortográfica Quantitativa da Regurgitação Aórtica por Videodensitometria na Orientação do Implante da Valva Aórtica Transcateter

Miyazaki, Yosuke et al.

Arq. Bras. Cardiol., Aug 2018, vol.111, no.2, p.193-202

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018001400193&lng=pt&nrm=iso&tlng=pt (portuguese)

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018001400193&lng=pt&nrm=iso&tlng=en (english)

■ Analysis of electrocardiographic intervals before and after transcatheter aortic valve implantation predict the need for permanent pacing

Ball TN, Vasudevan A, Mi Ko J, Assar MD, McCullough PA, Stoler RC.

Proc (Bayl Univ Med Cent). 2018 Sep 11;31(4):407-413

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413979/

■ Comprehensive geriatric assessment in patients undergoing transcatheter aortic valve implantation – results from the GGA-TAVI multicentre registry

Andrea Ungar, Giulio Mannarino, Nathalie van der Velde et al

BMC Cardiovasc Disord. 2018; 18: 1

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755352/

■ Early versus newer generation devices for transcatheter aortic valve implantation in routine clinical practice: a propensity score matched analysis

Thomas Pilgrim, Joe K T Lee, Crochan J O’Sullivan et al

Open Heart. 2018; 5(1): e000695

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786915/

■ Otimal antiplatelet strategy after transcatheter aortic valve implantation: a meta-analaysis

Yousif Ahmad, Ozan Demir, Christopher Rajkumar et al

Open Heart. 2018; 5(1): e000748.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786926/

■ Impact of transcatheter aortic valve implantation on the risk of mortality in patients with severe aortic valve diseases: a health insurance-based analysis

Alexander Barth, Seyrani Yücel, Hüseyin Ince, Gabriele Doblhammer

Open Heart. 2018; 5(1): e000756

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922570/

■ Outcome after transvascular transcatheter aortic valve implantation in 2016

L Gaede, J Blumenstein, C Liebetrau et al

European Heart Journal 2018, vol 39 (8): 667-675

https://academic.oup.com/eurheartj/article/39/8/667/4710062

■ Transcatheter aortic valve replacemnt: optimizing outcomes for healthy recovert

Goel, Kashish; Holmes, David R. Jr

Journal of Cardiopulmonary Rehabilitation and Prevention 2018, vol 38 (1): 1-7

https://journals.lww.com/jcrjournal/Fulltext/2018/01000/Transcatheter_Aortic_Valve_Replacement__OPTIMIZING.1.aspx

■ Cost effectiveness of transcatheter aortic implantation in patients arotic stenosis in Japan

S Kodera, A Kiyosue, J Ando, I Komuro

Journal of Cardiology 2018, vol 71 (3): p223-229

https://www.journal-of-cardiology.com/article/S0914-5087(17)30277-0/fulltext

■ Transcatheter aortic valve replacement: Suitable for all?

K Minakata

Journal of Cardiology 2018, vol 71 (3): p221-p222

https://www.journal-of-cardiology.com/article/S0914-5087(17)30311-8/fulltext

■ Outcomes in transcatheter aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis

S Yoon, S Bleiziffer, O De Backer et al

Journal of the American College of Cardiology 2017, vol 69 (21): 2579-2589

http://www.onlinejacc.org/content/69/21/2579

■ Increased mortality from complications of pulmonary hypertension in patients indergoing transcatheter aortic valve replacement

Raj Parikh, Benson Varghese, Huma N. Khatoon et al

Pulm Circ. 2017 Jun; 7(2): 391–398

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467925/

■ Retinal embolic events: frequency and impact following transcatheter aortic valve implatation (TAVI) for aortic stenosis

William J Fusi-Rubiano, Yit C Yang, Andrew F Smallwood et al

BMJ Open Ophthalmol. 2017; 1(1): e000033

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721649/

■ SOURCE 3: 1-year outcomes post-transcatheter aortic valve implantation using the latest generation of the ballon-expandable transcatheter heart valve

O Wendler, G Schymik, H Treede et al

European Heart Journal 2017, vol 38 (36): 2117-2722

https://academic.oup.com/eurheartj/article/38/36/2717/3866739

■ Pre- and post-surgical evaluation of the inflammatory response in patients with aortic stenosis treated with different types of prosthesis

Maria Elena Soto, Jose Luis Salas, Jesus Vargas-Barron et al

BMC Cardiovasc Disord. 2017; 17: 100

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391573/

■ Transfemoral transcatheter aortic valve implantation in patients with end-stage renal disease and kidney transplant recipients

F Al-Rashid, A Binholz, H A Hildebrandt et al

Scientific Reports 2017, vol 7 , article number: 14397

https://www.nature.com/articles/s41598-017-14486-7

■ Assessment of aortic valve disease – a clinician oriented review

A D Margulescu

World J Cardiol 2017, vol 9 (6): 481-495

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491466/

■ Conservative management of aortic root rupture complicated with cardiac tamponade following aortic valve implantation

Luca Vannini, Rut Andrea, Manel Sabaté

World J Cardiol. 2017 Apr 26; 9(4): 391–395

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5411975/

■ Evolução e Prognóstico da Regurgitação Paravalvar Após Implante de Valva Aórtica

Meneguz-Moreno, Rafael Alexandre et al

Arq. Bras. Cardiol., Dec 2017, vol.109, no.6, p.590-598

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017001500590&lng=pt&nrm=iso&tlng=pt (portuguese)

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2017001500590&lng=pt&nrm=iso&tlng=en (english)

■ Surgical or transcatheter aortic-valve replacement in intermediate-risk patients

Michael J. Reardon, Nicolas M. Van Mieghem, Jeffrey J. Popma et al

for the SURTAVI Investigators*

N Engl J Med 2017; 376:1321-1331

http://www.nejm.org/doi/full/10.1056/NEJMoa1700456

■ Reversibility of cardiac function predicts outcomes after transcatether aortic valve replacement in patients with severe aortic stenosi

K Sato, A Kumar, B M Jones et al

Journal of the American Heart Association 2017, vol 6: e005798

http://jaha.ahajournals.org/content/6/7/e005798

■ Transcatheter aortic valve implantation with or without percutanous coronary artery revascularization strategy: a systematic review and meta-analysis

R A Kotronias, C S Kwok, S George et al

Journal of the American Heart Association 2017, vol 6: e005960

http://jaha.ahajournals.org/content/6/6/e005960

■ Long-term outcomes of patients with mediastinal radiation – associated severe aortic stenosis and subsequente surgical aortic valve replacemnt: a matched cohort study

E Donnellan, A Masri, D R Johnston et al

Journal of the American Heart Association 2017, vol 6: e005396

http://jaha.ahajournals.org/content/6/5/e005396

■ Traditional cardiovascular risk factors and their relation to future surgery for valvular heart disease or ascending aortic disease: a case-referent study

J Ljungberg, B Johansson, K G Engström et al

Journal of the American Heart Association 2017, vol 6: e005133

http://jaha.ahajournals.org/content/6/5/e005133

■ Effect of body mass index on clinical outcome and all-cause mortality in patients undergoing transcatheter aortic valve implantation