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Vol. 217. Num. 8.November 2017
Pages 439-494
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Vol. 217. Num. 8.November 2017
Pages 439-494
Review
DOI: 10.1016/j.rceng.2017.05.005
Aortic stenosis. Indications and results of percutaneous aortic valve implantation (TAVI)
Estenosis aórtica. Indicaciones y resultados del implante de válvula aórtica percutánea (TAVI)
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L. Salido Tahoces
Corresponding author
luisasalido@hotmail.com

Corresponding author.
, R.A. Hernández Antolín, J.L. Zamorano Gómez
Servicio de Cardiología. Hospital Ramón y Cajal, Madrid, Spain
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Table 1. Comparison of the results of the various percutaneous aortic prostheses in published registries.
Abstract

Aortic stenosis (AS) is the most common valvular heart disease in developed countries. Its prevalence increases progressively due the aging of the population. Transcatheter aortic valve implantation (TAVI), however, has revolutionized the treatment of AS. With the current data, we can confirm that TAVI is the treatment of choice for patients with severe symptomatic AS considered inoperable or with high surgical risk. In recent years, the use of TAVI has grown exponentially and is spreading to patients of intermediate surgical risk due to the procedure's good results, the reduced number of complications and the low incidence of prosthetic degeneration. The results appear to indicate that, in the medium term, TAVI will progressively substitute conventional surgery for treating most patients with severe AS.

Keywords:
Aortic stenosis
TAVI
Resumen

La estenosis aórtica (EA) es la valvulopatía cardíaca más frecuente en los países desarrollados. Su prevalencia aumenta progresivamente debido al envejecimiento de la población. El implante transcatéter de la válvula aórtica (TAVI) ha revolucionado su tratamiento. Con los datos actuales se puede afirmar que el TAVI es el tratamiento de elección para los pacientes con EA grave sintomática, considerados inoperables o con alto riesgo quirúrgico. En los últimos años, el uso del TAVI ha crecido exponencialmente y se está extendiendo a pacientes de riesgo quirúrgico intermedio debido a los buenos resultados del procedimiento, la disminución del número de sus complicaciones y la baja incidencia de degeneración protésica. Todo parece indicar que, a medio plazo, el TAVI sustituirá progresivamente a la cirugía convencional en el tratamiento de la mayoría de los pacientes con EA grave.

Palabras clave:
Estenosis aórtica
TAVI

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