van Gils Lennart, Van Mieghem Nicolas M
Department of Interventional Cardiology, Thoraxcenter, ErasmusMC, Room Rg-628, 's Gravendijkwal 230, Rotterdam 3015 CE, The Netherlands.
Department of Interventional Cardiology, Thoraxcenter, ErasmusMC, Room Rg-628, 's Gravendijkwal 230, Rotterdam 3015 CE, The Netherlands.
Interv Cardiol Clin. 2019 Oct;8(4):393-402. doi: 10.1016/j.iccl.2019.06.002. Epub 2019 Jul 29.
Multiple transcatheter heart valve iterations have created an interesting range of options with which to perform transcatheter aortic valve replacement. The Lotus valve has several attractive features. The ability to eradicate even mild paravalvular leak mirrors the outcomes of surgical aortic valve replacement. New design iterations of the Lotus valve and refined sizing algorithms may help mitigate the need for permanent pacemaker implantation and consolidate its best-in-class results in terms of paravalvular leak. Ongoing trials should help define the safety and efficacy of the Lotus transcatheter heart valve in contemporary practice.
多种经导管心脏瓣膜迭代产品为经导管主动脉瓣置换术提供了一系列有趣的选择。Lotus瓣膜具有几个吸引人的特点。即使消除轻微的瓣周漏的能力可与外科主动脉瓣置换术的结果相媲美。Lotus瓣膜的新设计迭代产品和优化的尺寸计算算法可能有助于减少永久起搏器植入的需求,并巩固其在瓣周漏方面的同类最佳结果。正在进行的试验应有助于明确Lotus经导管心脏瓣膜在当代临床实践中的安全性和有效性。