Indikasi Transcatheter Aortic Valve Implantation (TAVI)

Oleh :

dr.Nailla Fariq Alfiani

Indikasi transcatheter aortic valve implantation (TAVI) adalah pada pasien dengan stenosis aorta berat simptomatik, terutama mereka yang memiliki risiko bedah tinggi hingga menengah. Pemilihan pasien untuk TAVI mempertimbangkan kombinasi berbagai faktor, termasuk kondisi klinis, usia, skor risiko bedah, komorbiditas, karakteristik anatomi katup aorta, serta preferensi pasien itu sendiri.[1,2,4,6–8]

Stenosis Aorta Berat Simptomatik

TAVI diindikasikan pada pasien dengan stenosis aorta berat simptomatik, ditandai oleh aortic valve area (AVA) ≤1,0 cm², mean gradient ≥40 mmHg atau peak aortic velocity (Vmax) ≥4,0 m/s, serta gejala seperti sesak napas, angina, sinkop, atau gagal jantung.[1,3-5]

Referensi

1. Ciardetti, N.; Ciatti, F.; Nardi, G.; Di Muro, F.M.; et al. Advancements in Transcatheter Aortic Valve Implantation: A Focused Update. Medicina 2021, 57, 711. https://doi.org/10.3390/medicina57070711
2. Monteiro, J. P., Brugaletta, S., Freixa, X., Regueiro, A., Rijo, D., & Sabaté, M. The roadmap to transcatheter aortic valve implantation. Revista Portuguesa de Cardiologia, 42(9), 733–739. (2023). https://doi.org/10.1016/j.repc.2022.09.004
3. Postolache, A., Sperlongano, S., & Lancellotti, P. TAVI after More Than 20 Years. Journal of clinical medicine, 12(17), 5645. (2023). https://doi.org/10.3390/jcm12175645
4. Webb, J. G., Blanke, P., Akodad, M., et al. TAVI in 2022: remaining issues and future direction. Archives of Cardiovascular Diseases, 115 (4), 235–242. (2022). https://doi.org/10.1016/j.acvd.2022.04.001
5. Rahman, F., & Resar, J. R. TAVI Beyond 3 Years: Durability and Predictors for Survival. Innovations (Philadelphia, Pa.), 16(5), 417–425. (2021). https://doi.org/10.1177/15569845211017558
6. Otto, C. M., et al. 2022 ACC/AHA guideline for the management of patients with valvular heart disease. Nature Reviews Cardiology, 19, 587–589. (2022). https://doi.org/10.1038/s41569-022-00734-5
7. Windecker, S., et al. Heart Team decision-making and patient-centered indications for TAVI. Netherlands Heart Journal, 31, 563–572. (2023). https://doi.org/10.1007/s12471-023-01811-1
8. Pibarot, P., et al. Indications for transcatheter aortic valve implantation in contemporary practice. Heart, 110, 1–8.
(2024). https://doi.org/10.1136/heartjnl-2024-324802
9. Reardon, M. J., et al. Clinical outcomes and patient selection for transcatheter aortic valve implantation. Journal of the American Heart Association, 12, e033768. (2023). https://doi.org/10.1161/JAHA.123.033768
10. Mangieri, A., et al. Expanding indications of transcatheter aortic valve implantation: Current evidence and future directions. Journal of Clinical Medicine, 12, 6123. (2023). https://doi.org/10.3390/jcm13206123

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Indikasi Transcatheter Aortic Valve Implantation (TAVI)

Referensi

Masuk atau Daftar

Artikel Terkait