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[Impact of elevated arterial blood pressure on bioprosthetic valve calcification and failure after transcatheter aortic valve replacement].

作者信息

Sheng Wenjing, Zhu Qifeng, Dai Hanyi, Zhou Dao, Liu Xianbao

机构信息

Department of Cardiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, State Key Laboratory of Transvascular Implantation Devices, Hangzhou 310009, China.

Zhejiang Provincial Key Laboratory of Cardiovascular Disease Diagnosis and Treatment, Hangzhou 310009, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2025 Mar 25;54(2):154-160. doi: 10.3724/zdxbyxb-2024-0391.


DOI:10.3724/zdxbyxb-2024-0391
PMID:40104902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12062944/
Abstract

Transcatheter aortic valve replacement (TAVR) has emerged as the standard treatment for severe aortic stenosis, demonstrating comparable efficacy to traditional surgery in low and intermediate-risk patients. However, the bioprosthetic valves utilized in TAVR have a limited lifespan, and bioprosthetic valve failure, including calcification, rupture or infection may develop, leading to poor clinical outcomes. Elevated blood pressure has been identified as a key factor in aortic valve calcification, and its role in bioprosthetic valve failure is gaining increasing attention. Hypertension may accelerate the calcification process and exacerbate valve failure due to increased mechanical stress on the valve, activation of the renin-angiotensin system, and enhanced thrombus formation. Furthermore, elevated blood pressure interacts with prosthesis mismatch and paravalvular leak, jointly affecting valve durability. This review explores the impact of elevated blood pressure on bioprosthetic valve calcification and failure after TAVR, and emphasizes the importance of blood pressure control, optimized preoperative assessment, and appropriate valve selection in reducing valve failures.

摘要

相似文献

[1]
[Impact of elevated arterial blood pressure on bioprosthetic valve calcification and failure after transcatheter aortic valve replacement].

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2025-3-25

[2]
A systematic review on durability and structural valve deterioration in TAVR and surgical AVR.

Acta Cardiol. 2021-11

[3]
A comparison of valve-in-valve transcatheter aortic valve replacement in failed stentless versus stented surgical bioprosthetic aortic valves.

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[4]
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[5]
Transcatheter Aortic Valve Replacement in Failed Transcatheter Bioprosthetic Valves.

JACC Cardiovasc Interv. 2022-9-26

[6]
Assessment of Long-Term Structural Deterioration of Transcatheter Aortic Bioprosthetic Valves Using the New European Definition.

Circ Cardiovasc Interv. 2019-4

[7]
Bioprosthetic Valve Fracture Improves the Hemodynamic Results of Valve-in-Valve Transcatheter Aortic Valve Replacement.

Circ Cardiovasc Interv. 2017-7

[8]
Durability of Transcatheter and Surgical Bioprosthetic Aortic Valves in Patients at Lower Surgical Risk.

J Am Coll Cardiol. 2019-2-12

[9]
Transcatheter aortic valve implantation with a Sapien 3 Commander 20 mm valves in patients with degenerated 19 mm bioprosthetic aortic valve.

Catheter Cardiovasc Interv. 2017-6-1

[10]
Incidence of Long-Term Structural Valve Dysfunction and Bioprosthetic Valve Failure After Transcatheter Aortic Valve Replacement.

J Am Heart Assoc. 2018-8-7

本文引用的文献

[1]
Transcatheter or surgical aortic valve implantation: 10-year outcomes of the NOTION trial.

Eur Heart J. 2024-4-1

[2]
Diagnostic accuracy of virtual non-contrast CT for aortic valve stenosis severity evaluation.

J Cardiovasc Comput Tomogr. 2024

[3]
Leaflet thrombosis in transcatheter aortic valve intervention: mechanisms, prevention, and treatment options.

Front Cardiovasc Med. 2023-10-6

[4]
Structural Valve Deterioration in Transcatheter Aortic Bioprostheses: Diagnosis, Pathogenesis, and Treatment.

Struct Heart. 2023-4-4

[5]
Factors associated with the progression of aortic valve calcification in older adults.

Int J Cardiol. 2023-6-15

[6]
3-Year Outcomes After Transcatheter or Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis.

J Am Coll Cardiol. 2023-5-2

[7]
Structural Valve Deterioration After Self-Expanding Transcatheter or Surgical Aortic Valve Implantation in Patients at Intermediate or High Risk.

JAMA Cardiol. 2023-2-1

[8]
Review of bioprosthetic structural valve deterioration: Patient or valve?

J Card Surg. 2022-12

[9]
Systemic blood pressure in severe aortic stenosis: Haemodynamic correlates and long-term prognostic impact.

ESC Heart Fail. 2023-2

[10]
Self-expanding Transcatheter vs Surgical Aortic Valve Replacement in Intermediate-Risk Patients: 5-Year Outcomes of the SURTAVI Randomized Clinical Trial.

JAMA Cardiol. 2022-10-1

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