Hemodynamic evaluation of heart valve prostheses paradigm shift for transcatheter valves?

摘要

The treatment of aortic valve disease is undergoing rapid changes. In addition to conventional valve replacement that has evolved as the gold standard over several decades, transcatheter techniques have been introduced into clinical practice. Whereas the conventional approach offers very precise and safe suturing of standard valves with low failure rates and excellent proven long-term outcomes, transcatheter techniques allow for off-pump beating-heart valve implantations that can even be performed without general anesthesia in some patients.