Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/160042 |
Resumo: | Valvular heart disease (VHD) is one of the most frequent causes of heart failure (HF) and is associated with poor prognosis, particularly among patients with conservative management. The development and improvement of catheter-based VHD interventions have broadened the indications for transcatheter valve interventions from inoperable/high-risk patients to younger/lower-risk patients. Cardiogenic shock (CS) associated with severe VHD is a clinical condition with a very high risk of mortality for which surgical treatment is often deemed a prohibitive risk. Transcatheter valve interventions might be a promising alternative in this setting given that they are less invasive. However, supportive scientific evidence is scarce and often limited to small case series. Current guidelines on VHD do not contain specific recommendations on how to manage patients with both VHD and CS. The purpose of this clinical consensus statement, developed by a group of international experts invited by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Scientific Documents and Initiatives Committee, is to perform a review of the available scientific evidence on the management of CS associated with left-sided VHD and to provide a rationale and practical approach for the application of transcatheter valve interventions in this specific clinical setting. |
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Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shocka consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the Association for Acute Cardiovascular (ACVC) and the ESC Working Group on Cardiovascular SurgeryTAVIacute heart failureaortic regurgitationaortic stenosismitral regurgitationmitral stenosisValvular heart disease (VHD) is one of the most frequent causes of heart failure (HF) and is associated with poor prognosis, particularly among patients with conservative management. The development and improvement of catheter-based VHD interventions have broadened the indications for transcatheter valve interventions from inoperable/high-risk patients to younger/lower-risk patients. Cardiogenic shock (CS) associated with severe VHD is a clinical condition with a very high risk of mortality for which surgical treatment is often deemed a prohibitive risk. Transcatheter valve interventions might be a promising alternative in this setting given that they are less invasive. However, supportive scientific evidence is scarce and often limited to small case series. Current guidelines on VHD do not contain specific recommendations on how to manage patients with both VHD and CS. The purpose of this clinical consensus statement, developed by a group of international experts invited by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Scientific Documents and Initiatives Committee, is to perform a review of the available scientific evidence on the management of CS associated with left-sided VHD and to provide a rationale and practical approach for the application of transcatheter valve interventions in this specific clinical setting.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNFraccaro, ChiaraKaram, NicoleMöllmann, HelgeBleiziffer, SabineBonaros, NikolaosTeles, Rui CampanteCarrilho Ferreira, PedroChieffo, AlaideCzerny, MartinDonal, ErwanDudek, DariuszDumonteil, NicolasEsposito, GiovanniFournier, StephaneHassager, ChristianKim, Won-KeunKrychtiuk, Konstantin AMehilli, JulindaPręgowski, JerzyStefanini, Giulio GTernacle, JulienThiele, HolgerThielmann, MatthiasVincent, Flavienvon Bardeleben, Ralph StephanTarantini, Giuseppe2023-11-16T22:09:27Z2023-10-232023-10-23T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/160042eng1774-024XPURE: 74234525https://doi.org/10.4244/EIJ-D-23-00473info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:42:34Zoai:run.unl.pt:10362/160042Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:57:49.786932Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the Association for Acute Cardiovascular (ACVC) and the ESC Working Group on Cardiovascular Surgery |
title |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock |
spellingShingle |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock Fraccaro, Chiara TAVI acute heart failure aortic regurgitation aortic stenosis mitral regurgitation mitral stenosis |
title_short |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock |
title_full |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock |
title_fullStr |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock |
title_full_unstemmed |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock |
title_sort |
Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock |
author |
Fraccaro, Chiara |
author_facet |
Fraccaro, Chiara Karam, Nicole Möllmann, Helge Bleiziffer, Sabine Bonaros, Nikolaos Teles, Rui Campante Carrilho Ferreira, Pedro Chieffo, Alaide Czerny, Martin Donal, Erwan Dudek, Dariusz Dumonteil, Nicolas Esposito, Giovanni Fournier, Stephane Hassager, Christian Kim, Won-Keun Krychtiuk, Konstantin A Mehilli, Julinda Pręgowski, Jerzy Stefanini, Giulio G Ternacle, Julien Thiele, Holger Thielmann, Matthias Vincent, Flavien von Bardeleben, Ralph Stephan Tarantini, Giuseppe |
author_role |
author |
author2 |
Karam, Nicole Möllmann, Helge Bleiziffer, Sabine Bonaros, Nikolaos Teles, Rui Campante Carrilho Ferreira, Pedro Chieffo, Alaide Czerny, Martin Donal, Erwan Dudek, Dariusz Dumonteil, Nicolas Esposito, Giovanni Fournier, Stephane Hassager, Christian Kim, Won-Keun Krychtiuk, Konstantin A Mehilli, Julinda Pręgowski, Jerzy Stefanini, Giulio G Ternacle, Julien Thiele, Holger Thielmann, Matthias Vincent, Flavien von Bardeleben, Ralph Stephan Tarantini, Giuseppe |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Comprehensive Health Research Centre (CHRC) - pólo NMS RUN |
dc.contributor.author.fl_str_mv |
Fraccaro, Chiara Karam, Nicole Möllmann, Helge Bleiziffer, Sabine Bonaros, Nikolaos Teles, Rui Campante Carrilho Ferreira, Pedro Chieffo, Alaide Czerny, Martin Donal, Erwan Dudek, Dariusz Dumonteil, Nicolas Esposito, Giovanni Fournier, Stephane Hassager, Christian Kim, Won-Keun Krychtiuk, Konstantin A Mehilli, Julinda Pręgowski, Jerzy Stefanini, Giulio G Ternacle, Julien Thiele, Holger Thielmann, Matthias Vincent, Flavien von Bardeleben, Ralph Stephan Tarantini, Giuseppe |
dc.subject.por.fl_str_mv |
TAVI acute heart failure aortic regurgitation aortic stenosis mitral regurgitation mitral stenosis |
topic |
TAVI acute heart failure aortic regurgitation aortic stenosis mitral regurgitation mitral stenosis |
description |
Valvular heart disease (VHD) is one of the most frequent causes of heart failure (HF) and is associated with poor prognosis, particularly among patients with conservative management. The development and improvement of catheter-based VHD interventions have broadened the indications for transcatheter valve interventions from inoperable/high-risk patients to younger/lower-risk patients. Cardiogenic shock (CS) associated with severe VHD is a clinical condition with a very high risk of mortality for which surgical treatment is often deemed a prohibitive risk. Transcatheter valve interventions might be a promising alternative in this setting given that they are less invasive. However, supportive scientific evidence is scarce and often limited to small case series. Current guidelines on VHD do not contain specific recommendations on how to manage patients with both VHD and CS. The purpose of this clinical consensus statement, developed by a group of international experts invited by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Scientific Documents and Initiatives Committee, is to perform a review of the available scientific evidence on the management of CS associated with left-sided VHD and to provide a rationale and practical approach for the application of transcatheter valve interventions in this specific clinical setting. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-16T22:09:27Z 2023-10-23 2023-10-23T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/160042 |
url |
http://hdl.handle.net/10362/160042 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1774-024X PURE: 74234525 https://doi.org/10.4244/EIJ-D-23-00473 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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RCAAP |
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