Endovascular Treatment of Critical Aortic Stenosis: Current State of the Problem and Perspectives
https://doi.org/10.18087/cardio.2018.7.10153
Abstract
Ee article contains the review of current understanding of the etiology and pathogenesis of degenerative aortic stenosis, approaches to surgical treatment depending on various factors, e. g. severity of defect and comorbidity, description of endovascular techniques (balloon valvuloplasty and transcatheter aortic valve implantation), and features of the selection of patients for these procedures. Ee authors also present assessment of results of operations performed from 2011 to 2016 in the city hospital № 2 in Saint-Petersburg. ^ey analyze data from 72 high-risk aortic stenosis patients aged 81±6 years treated with transcatheter aortic valve implantation. In 68 out of 72 patients (94.4%) clinical improvement was achieved with reduction of dilation of left ventricular cavity, decrease of functional class of heart failure, and decrease of mean pressure gradient across the aortic valve. A conclusion is made that these results confirm advantages and perspectives of the use of endovascular methods of treatment in this complicated group of patients.
About the Authors
Sergey A. Amzaev
City hospital № 2, Saint-Petersburg; St.-Petersburg State University
Russian Federation
Russian Federation
A. S. Sergeev
City hospital № 2, Saint-Petersburg
Russian Federation
Russian Federation
V. K. Sukhov
City hospital № 2, Saint-Petersburg
Russian Federation
Russian Federation
E. A. Shloido
City hospital № 2, Saint-Petersburg
Russian Federation
Russian Federation
A. G. Obrezan
St.-Petersburg State University; International Medical Center “SOGAZ”
Russian Federation
Russian Federation
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Review
For citations:
Amzaev S.A., Sergeev A.S., Sukhov V.K., Shloido E.A., Obrezan A.G. Endovascular Treatment of Critical Aortic Stenosis: Current State of the Problem and Perspectives. Kardiologiia. 2018;58(7):95-100. (In Russ.) https://doi.org/10.18087/cardio.2018.7.10153
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