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Transcatheter Valve Treatment: Peri-procedural Management

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Percutaneous Treatment of Left Side Cardiac Valves

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Abstract

Progress in the field of interventional cardiology today allows percutaneous treatment of various valve diseases. A growing population of elderly and/or high-risk patients can benefit from a non-surgical approach, with limited periprocedural risk and a minor incidence of adverse events compared to surgery. However, the severity of the clinical picture of these patients and the greater invasiveness and complexity of these procedures compared to conventional interventional cardiology procedures require a higher level of attention to detect and manage an ever growing number of “new” complications accompanying these innovative techniques. Therefore, all physicians involved in the management and care of these patients need to have adequate knowledge and be frequently updated on the pre- and post-procedural management, based on the experience gained day to day. This chapter illustrates various aspects relating to the diagnosis, management, and care of patients before and after novel aortic valve implantation procedures to treat aortic stenosis (AS) and mitral valve repair procedures using the Mitraclip® device to treat mitral regurgitation (MR). Special attention will be focused on the general and specific principles of each technique and the hemodynamic impairment model associated with each valve disease. Table 5.1 summarizes the components of routine care before and after transcatheter aortic valve implantation (TAVI) and Mitraclip® device implantation.

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Authors and Affiliations

  1. Ferrarotto Hospital, University of Catania, ETNA Foundation, Catania, Italy

    Corrado Tamburino (Full Professor of Cardiology, Director of Postgraduate School of Cardiology, Chief Cardiovascular Department, Director Cardiology Division and Interventional Cardiology)

  2. Cardiology Division, Ferrarotto Hospital, Catania, Italy

    Gian Paolo Ussia (Co-Director Interventional Cardiology, Director Structural Heart Disease Program)

Authors
  1. Corrado Tamburino
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  2. Gian Paolo Ussia
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© 2010 Springer-Verlag Italia

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Tamburino, C., Ussia, G.P. (2010). Transcatheter Valve Treatment: Peri-procedural Management. In: Percutaneous Treatment of Left Side Cardiac Valves. Springer, Milano. https://doi.org/10.1007/978-88-470-1424-4_5

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  • DOI: https://doi.org/10.1007/978-88-470-1424-4_5

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1423-7

  • Online ISBN: 978-88-470-1424-4

  • eBook Packages: MedicineMedicine (R0)

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