Biküspit Aort Stenozunda Girişimsel Tedavi

Önder Bilge

doi:10.37609/akya.863

Yazarlar

Önder Bilge

https://orcid.org/0000-0001-8214-972X

DOI: https://doi.org/10.37609/akya.863.c12387

Özet

Biküspit aort kapağı (BAV), erken yaşta aort kapağı hastalığına ve biküspit kapakla ilişkili aortopatiye yol açabilen yaygın bir konjenital kapak hastalığıdır. Bugüne kadar cerrahi aort kapak replasmanı (SAVR) ile transkatater aort kapak implantasyonunu (TAVİ) karşılaştıran büyük randomize çalışmalara BAV hastaları dahil edilmemiştir. BAV stenozunda TAVİ kullanımıyla ilgili ilk tecrübeler, paravalvüler sızıntının nispeten yüksek bir oranda görülmesiyle sonuçlandı. Bu sorun kapak tasarımının ve sızdırmazlık eteklerindeki iyileştirmelerle aşılmış gibi görünüyor. Bu hasta grubunda protez durabilitesindeki kaygıya rağmen teknolojik ilerlemeler ve işlemle ilgili tecrübenin gelişmesiyle TAVİ daha sık ve uygulanabilir hale gelecektir.

Bicuspid aortic valve (BAV) is a common congenital valve disease that can lead to aortic valve disease and bicuspid valve-associated aortopathy at an early age. To date, large randomized trials comparing surgical aortic valve replacement (SAVE) with transcatheter aortic valve implantation (TAVI) have not included patients with BAV. Initial experience with the use of TAVI in BAV stenosis resulted in a relatively high incidence of paravalvular leakage. This problem appears to have been overcome with improvements in the valve design and sealing skirts. Despite concerns about prosthesis durability in this patient group, TAVI will become more frequent and applicable with technological advances and improved experience with the procedure.

Referanslar

Osnabrugge RL, Mylotte D, Head SJ,at al. Aortic stenosis in the elderly: disease prevalence and number of candidates for transcatheter aortic valve replacement: a meta-analysis and modeling study. J Am Coll Cardiol. 2013;62(11):1002-12. doi: 10.1016/j.jacc.2013.05.015.

Tchetche D, de Biase C, van Gils L, at al. Bicuspid Aortic Valve Anatomy and Relationship With Devices: The BAVARD Multicenter Registry. Circ Cardiovasc Interv. 2019;12(1):e007107. doi: 10.1161/CIRCINTERVENTIONS.118.007107.

Bravo-Jaimes, K.; Prakash, S.K. Genetics in bicuspid aortic valve disease: Where are we? Prog. Cardiovasc. Dis. 2020, 63, 398–406.

Vahanian A, Beyersdorf F, Praz F, Milojevic M, at al; ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561-632. doi: 10.1093/eurheartj/ehab395.

Wilson-Smith AR, Eranki A, Muston B,at al. Incidence of bicuspid valve related aortic dissection: a systematic review and meta-analysis. Ann Cardiothorac Surg. 2022;11(4):363-368. doi: 10.21037/acs-2022-bav-21.

Michelena HI, Khanna AD, Mahoney D, at al. Incidence of aortic complications in patients with bicuspid aortic valves. JAMA. 2011;306(10):1104-12. doi: 10.1001/jama.2011.1286.

Kim WK, Liebetrau C, Fischer-Rasokat U, at al. Challenges of recognizing bicuspid aortic valve in elderly patients undergoing TAVR. Int J Cardiovasc Imaging. 2020;36(2):251-256. doi: 10.1007/s10554-019-01704-8.

Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg. 2007;133(5):1226-33. doi: 10.1016/j.jtcvs.2007.01.039.

Jilaihawi H, Chen M, Webb J, at al. JACC Cardiovasc Imaging. 2016;9(10):1145-1158. doi: 10.1016/j.jcmg.2015.12.022.

Vincent F, Ternacle J, Denimal T,at al. Transcatheter Aortic Valve Replacement in Bicuspid Aortic Valve Stenosis. Circulation. 2021;143(10):1043-1061.doi:10.1161/CIRCULATIONAHA.120.048048.

Shibayama K, Harada K, Berdejo J,at al. Comparison of aortic root geometry with bicuspid versus tricuspid aortic valve: real-time three-dimensional transesophageal echocardiographic study. J Am Soc Echocardiogr. 2014;27(11):1143-52. doi: 10.1016/j.echo.2014.07.008

Kim WK, Renker M, Rolf A, at al. Annular versus supra-annular sizing for TAVI in bicuspid aortic valve stenosis. EuroIntervention. 2019;15(3):e231-e238. doi: 10.4244/EIJ-D-19-00236.

Yoon SH, Bleiziffer S, De Backer O, at al. Outcomes in Transcatheter Aortic Valve Replacement for Bicuspid Versus Tricuspid Aortic Valve Stenosis. J Am Coll Cardiol. 2017;69(21):2579-2589. doi: 10.1016/j.jacc.2017.03.017.

Fedak PW, Verma S, David TE, Leask RL, Weisel RD, Butany J. Clinical and pathophysiological implications of a bicuspid aortic valve. Circulation.2002;106(8):900-4.doi: 10.1161/01.cir.0000027905.26586.e8.

Kong WKF, Delgado V, Bax JJ. Bicuspid Aortic Valve: What to Image in Patients Considered for Transcatheter Aortic Valve Replacement? Circ Cardiovasc Imaging. 2017;10(9):e005987. doi: 10.1161/CIRCIMAGING.117.005987.

Lerer PK, Edwards WD. Coronary arterial anatomy in bicuspid aortic valve. Necropsy study of 100 hearts. Br Heart J. 1981;45(2):142-7. doi: 10.1136/hrt.45.2.142.

Shen M, Tastet L, Capoulade R, at al. Effect of bicuspid aortic valve phenotype on progression of aortic stenosis. Eur Heart J Cardiovasc Imaging. 2020;21(7):727-734. doi: 10.1093/ehjci/jeaa068.

van Rosendael PJ, Kamperidis V, Kong WK, at al. Comparison of Quantity of Calcific Deposits by Multidetector Computed Tomography in the Aortic Valve and Coronary Arteries. Am J Cardiol. 2016;118(10):1533-1538. doi: 10.1016/j.amjcard.2016.08.021.

Otto CM, Nishimura RA, Bonow RO, at al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines. J Am Coll Cardiol. 2021;77(4):e25-e197. https://doi.org/ 10.1016/j.jacc.2020.11.018

Baumgartner H, Falk V, Bax JJ, at al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017;38(36):2739-2791. https:// doi.org/10.1093/eurheartj/ehx391

Elbadawi A, Saad M, Elgendy IY, at al. Temporal trends and outcomes of transcatheter versus surgical aortic valve replacement for bicuspid aortic valve stenosis. JACC Cardiovasc Interv. 2019;12(18):1811-1822. https://doi.org/10.1016/ j.jcin.2019.06.037.

Majmundar M, Kumar A, Doshi R, at al. Early outcomes of transcatheter versus surgical aortic valve implantation in patients with bicuspid aortic valve stenosis. EuroIntervention. 2022;18(1):23-32. https://doi.org/10.4244/EIJ-D-21- 00757.

Mentias A, Sarrazin MV, Desai MY, at al. Transcatheter versus surgical aortic valve replacement in patients with bicuspid aortic valve stenosis. J Am Coll Cardiol. (2020) 75:2518– 9. doi: 10.1016/j.jacc.2020.02.069

Halim SA, Edwards FH, Dai D, at al. Outcomes of transcatheter aortic valve replacement in patients with bicuspid aortic valve disease: a report from the society of thoracic surgeons/American college of cardiology transcatheter valve therapy registry. Circulation. (2020) 141:1071– 9. doi: 10.1161/CIRCULATIONAHA.119.040333

Makkar RR, Yoon SH, Leon MB, at al. Association between transcatheter aortic valve replacement for bicuspid vs tricuspid aortic stenosis and mortality or stroke. JAMA. (2019) 321:2193– 202. doi: 10.1001/jama.2019.7108

Forrest JK, Kaple RK, Ramlawi B, at al. Transcatheter aortic valve replacement in bicuspid versus tricuspid aortic valves from the STS/ACC TVT registry. JACC Cardiovasc Interv. (2020) 13:1749–59. doi: 10.1016/j.jcin.2020.03.022

Montalto C, Sticchi A, Crimi G, at al. Outcomes after transcatheter aortic valve replacement in bicuspid versus tricuspid anatomy: a systematic review and meta-analysis. JACC Cardiovasc Interv. (2021) 14:2144–55. doi: 10.1016/j.jcin.2021.07.052

Mangieri A, Tchetchè D, Kim WK, at al. Balloon Versus Self-Expandable Valve for the Treatment of Bicuspid Aortic Valve Stenosis: Insights From the BEAT International Collaborative Registrys. Circ Cardiovasc Interv. 2020;13(7):e008714. doi: 10.1161/CIRCINTERVENTIONS.119.008714.

Tarantini G, Fabris T. Transcatheter Aortic Valve Replacement for Bicuspid Aortic Valve Stenosis: A Practical Operative Overview. Circ Cardiovasc Interv. 2021;14(7):e009827. doi: 10.1161/CIRCINTERVENTIONS.120.009827.

Gutierrez L, Boiago M, De Biase C, at al. Transcatheter Aortic Valve Implantation for Bicuspid Aortic Valve Disease: Procedural Planning and Clinical Outcomes. J Clin Med. 2023;12(22):7074. doi: 10.3390/jcm12227074. PMID: 38002687; PMCID: PMC10672483.

Webb J, Wood D, Sathananthan J, Landes U. Balloon-expandable or self-expandable transcatheter heart valves. Which are best? Eur Heart J. 2020;41(20):1900-1902. doi: 10.1093/eurheartj/ehaa167.

Okuno T, Heg D, Lanz J, at al. Heart valve sizing and clinical outcomes in patients undergoing transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2021;98(5):E768-E779. doi: 10.1002/ccd.29700.