Veulemans Verena, Maier Oliver, Zeus Tobias
Department of Cardiology, Pulmonology and Vascular Diseases, University Hospital Düsseldorf Düsseldorf, Germany.
Interv Cardiol. 2024 Feb 9;19:e01. doi: 10.15420/icr.2023.05. eCollection 2024.
Optimised implantation depth (OID) is crucial to obtain the best haemodynamic and clinical outcome during transcatheter heart valve (THV) deployment. OID ensures a better haemodynamic profile and is associated with a potential reduction in permanent pacemaker implantations, both of which are important during transcatheter aortic valve replacement (TAVR). Apart from patient-related anatomic conditions, many factors, such as THV and wire selection, as well as implantation strategies, can be controlled by the operator and facilitate the implantation process. However, there are only limited data dealing with predictors for OID. Therefore, the aim of this review was to outline factors and tools that might influence the final implantation depth during TAVR procedures, potentially influencing the outcome.
优化植入深度（OID）对于经导管心脏瓣膜（THV）植入过程中获得最佳血流动力学和临床结果至关重要。OID可确保更好的血流动力学状态，并可能减少永久性起搏器植入的发生率，这两点在经导管主动脉瓣置换术（TAVR）中均很重要。除了与患者相关的解剖条件外，许多因素，如THV和导丝的选择以及植入策略等，都可由操作者控制并有助于植入过程。然而，关于OID预测因素的数据有限。因此，本综述的目的是概述可能影响TAVR手术最终植入深度并潜在影响结果的因素和工具。
