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Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.

Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.

期刊: Interventional cardiology clinics 日期: 2026-10-01 PMID: 42648866 DOI: 10.1016/j.iccl.2026.06.005 浏览: 7
作者: Kumar S, Giacaman A, Villablanca PA
S, K., A, G., & PA, V. (2026). Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.. Interventional cardiology clinics. https://doi.org/10.1016/j.iccl.2026.06.005
S K, A G, PA V. Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.. Interventional cardiology clinics. 2026; doi: 10.1016/j.iccl.2026.06.005
S K, A G, PA V. Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.[J]. Interventional cardiology clinics. 2026. DOI: 10.1016/j.iccl.2026.06.005.
@article{s2026,
  author = {Kumar S and Giacaman A and Villablanca PA},
  title = {Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.},
  journal = {Interventional cardiology clinics},
  year = {2026},
  doi = {10.1016/j.iccl.2026.06.005},
  note = {PMID: 42648866},
}
TY  - JOUR
AU  - Kumar S
AU  - Giacaman A
AU  - Villablanca PA
TI  - Complications of Transcatheter Aortic Valve Replacement: Contemporary Prevention, Recognition, and Management.
T2  - Interventional cardiology clinics
PY  - 2026
DO  - 10.1016/j.iccl.2026.06.005
AN  - PMID:42648866
ER  - 

摘要

This review summarizes contemporary prevention, recognition, and management of major complications after transcatheter aortic valve replacement. The article emphasizes anatomy-specific planning with multidetector computated tomography (CT) to assess annular and left ventricular outflow tract (LVOT) calcium, coronary obstruction risk, aortic root dimensions, access quality, and factors affecting valve selection and deployment. It reviews key complications including annular and aortic root injury, coronary obstruction, valve malposition or embolization, paravalvular regurgitation, ventricular perforation and tamponade, dynamic LVOT obstruction, mitral injury, and iatrogenic septal defects. The review also highlights the importance of postevent surveillance for delayed complications after apparent procedural stabilization.

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