Raphe-Type Bicuspid Aortic Valve as a Risk Factor for Transcatheter Aortic Valve Replacement Failure: Improving Outcomes Using the LIRA Method and the Medtronic FX Prosthesis

Transcatheter aortic valve replacement (TAVR) in patients with severe aortic stenosis and raphe-type bicuspid aortic valve (BAV) is still associated with poor outcomes in terms of increased risk of paravalvular regurgitation, stroke, and permanent pacemaker implantation. There is no definitive consensus on the optimal sizing method for prosthesis selection in this setting. The LIRA method is a supra-annular tailored sizing method specifically designed for bicuspid anatomy that might increase accuracy of prosthesis choice in BAV patients and improve TAVR outcomes. This is the first report of the combination of the novel LIRA method for prosthesis sizing together with the adoption of the technological improvements introduced by the Evolut FX prosthesis as a useful tool for improving outcomes in this high risk subgroup of patients.

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Publication Details

Journal
Journal of Cardiovascular Development and Disease
Published
2024-12-30
DOI
https://doi.org/10.3390/jcdd12010011
Citations
2
Primary Topic
Cardiac Valve Diseases and Treatments
Type
article
Field-Weighted Citation Impact
0.80
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article

Raphe-Type Bicuspid Aortic Valve as a Risk Factor for Transcatheter Aortic Valve Replacement Failure: Improving Outcomes Using the LIRA Method and the Medtronic FX Prosthesis

Filippo Russo, Antonio Esposito, Eustachio Agricola, Luca Ferri et al.
2 citations
Journal of Cardiovascular Development and Disease
Cardiac Valve Diseases and Treatments
0.80
article

Raphe-Type Bicuspid Aortic Valve as a Risk Factor for Transcatheter Aortic Valve Replacement Failure: Improving Outcomes Using the LIRA Method and the Medtronic FX Prosthesis

Filippo Russo, Antonio Esposito, Eustachio Agricola, Luca Ferri, Marco Ancona, Matteo Montorfano, Bárbara Bellini, Francesca Di Napoli, Greca Zanda, Paolo Bonfanti, Ciro Vella, Vittorio Romano
article en
2 citations

Abstract

Transcatheter aortic valve replacement (TAVR) in patients with severe aortic stenosis and raphe-type bicuspid aortic valve (BAV) is still associated with poor outcomes in terms of increased risk of paravalvular regurgitation, stroke, and permanent pacemaker implantation. There is no definitive consensus on the optimal sizing method for prosthesis selection in this setting. The LIRA method is a supra-annular tailored sizing method specifically designed for bicuspid anatomy that might increase accuracy of prosthesis choice in BAV patients and improve TAVR outcomes. This is the first report of the combination of the novel LIRA method for prosthesis sizing together with the adoption of the technological improvements introduced by the Evolut FX prosthesis as a useful tool for improving outcomes in this high risk subgroup of patients.

Journal of Cardiovascular Development and DiseaseVol. 12(1)
Vita-Salute San Raffaele University (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Ospedale Valduce (IT), Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT)
Openalex Percentile: Top 22%
Cardiac Valve Diseases and Treatments
0.80
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