2026-04-17T02:19:02Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/67782025-10-24T10:22:31Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Blackman, Daniel author Gabbieri, Davide author Kempfert, Jörg author Laine, Mika author García del Blanco, Bruno author Mascherbauer, Julia author 2022-01-13T11:18:13Z 2022-01-13T11:18:13Z 2021-12 Vàlvula aòrtica bicúspide; Talla del bicúspide; SAPIEN 3/Ultra Válvula aórtica bicúspide; Talla del bicúspide; SAPIEN 3/Ultra Bicuspid aortic valve; Bicuspid sizing; SAPIEN 3/Ultra Severe aortic stenosis patients with bicuspid anatomy have been excluded from the major transcatheter aortic valve replacement (TAVI) randomized clinical trials. As a result, there is no official recommendation on bicuspid TAVI. A panel of bicuspid experts was created to fill this gap. In this consensus statement, an algorithm is proposed to guide the choice of surgery or TAVI within this complex patient population, depending on aortic dilatation, age, surgical risk score, and anatomy. A step-by-step guide for sizing and positioning of the SAPIEN 3/Ultra TAVI bioprostheses is presented. Annular sizing remains the primary strategy in most bicuspid patients. However, some anatomies may require sizing at the supra-annular level, for which patients the panel recommends the circle method, a dedicated sizing and positioning approach for SAPIEN 3/Ultra. The consensus provides valuable pre-operative insights on the interactions between SAPIEN 3/Ultra and the bicuspid anatomy; understanding the valve–anatomy relationship is critical to avoid complications and to optimize outcomes for patients. The journal’s Rapid Service Fee was supported by Edwards Lifesciences. http://hdl.handle.net/11351/6778 Medicina clínica - Presa de decisions Vàlvula aòrtica - Estenosi - Cirurgia Pròtesis valvulars cardíaques PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Psychology, Social::Group Processes::Consensus DISEASES::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Aortic Valve Stenosis Other subheadings::Other subheadings::Other subheadings::/surgery ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Equipment and Supplies::Prostheses and Implants::Heart Valve Prosthesis PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::psicología social::procesos de grupo::consenso ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::enfermedades de las válvulas cardíacas::estenosis de la válvula aórtica Otros calificadores::Otros calificadores::Otros calificadores::/cirugía TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::equipos y suministros::prótesis e implantes::prótesis valvulares cardíacas Expert Consensus on Sizing and Positioning of SAPIEN 3/Ultra in Bicuspid Aortic Valves