Kathetergestützte Aortenklappenimplantation aus chirurgischer Sicht

Sabine Bleiziffer, Robert Bauernschmitt, Hendrik Ruge, Domenico Mazzitelli, Christian Schreiber, Andrea Hutter, Anke Opitz, Rüdiger Lange

Publikation: Beitrag in FachzeitschriftArtikelBegutachtung

4 Zitate (Scopus)


Background and Purpose: The technology of catheter- based aortic valve implantation is a new, less invasive therapeutic option for patients with symptomatic high-grade aortic stenosis. The present paper aims to demonstrate that optimal therapy should be provided by a multidisciplinary team consisting of cardiac surgeons, cardiologists and cardioanesthesiologists in a hybrid suite. Patients and Methods: : From June 2007 to April 2009, 234 patients have been treated by transcatheter aortic valve implantation through different access sites (n = 168 femoral artery, n = 56 left ventricular apex, n = 7 subclavian artery, n = 3 ascending aorta) at the German Heart Center Munich, Germany. An algorithm for the choice of the most appropriate access site for the individual patient was established. Results: The 30-day mortality was 11.2% in this high-risk patient cohort. A certain number of periprocedural complications required surgical management. There was a considerable clinical improvement of the patients 6 months after the procedure. Conclusion: Integrating the new methods of aortic valve implantation into a cardiac surgery program, all kinds of surgical and interventional treatment options may be offered to the patient with aortic stenosis by one multidisciplinary team. A qualified and safe performance of transcatheter aortic valve implantation and the management of potential complications require the presence of a hybrid suite.

Titel in ÜbersetzungTranscatheter aortic valve implantation: Surgeon's view
Seiten (von - bis)374-380
PublikationsstatusVeröffentlicht - Aug. 2009


  • Aortic stenosis
  • Aortic valve replacement
  • Catheter-based techniques
  • High-risk patients
  • Minimally invasive


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