Universität zu Köln

Quast, Christine, Zimmer, Sebastian, Adam, Matti ORCID: 0000-0002-6990-8135, Baldus, Stephan, Nickenig, Georg and Kelm, Malte ORCID: 0000-0003-0060-1052 (2019). Clinical Advances in Aortic Diseases: from Aortic Valve to Bifurcation. Dtsch. Med. Wochenschr., 144 (11). S. 734 - 739. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

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Abstract

There is growing understanding to recognize the aorta as complex system and treat aortic diseases in an integrated fashion. The indication for interventional aortic valve replacement (TAVR) comprises patients with moderate and high perioperative risk and symptomatic, high grade aortic valve stenosis. In contrast low risk patients receive conventional therapy. Ongoing randomised trials analyse the expansion of indication towards low risk patients for interventional approaches. A final rating is owing, but first data support the assumption that both therapeutic options may be equivalent. Moreover, the interventional therapy of low flow, low gradient aortic valve stenosis has been revalued and interventional valve-in-valve therapy has been integrated into clinical routine as invidualised decision of the heart team. Aortic diseases include several entities which require specialised diagnostic and therapeutic tools. Studies to evaluate evidence of follow up options need to be performed in future to enable for surveillance tailored to suit medical need.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Quast, Christine UNSPECIFIED UNSPECIFIED UNSPECIFIED Zimmer, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Adam, Matti UNSPECIFIED orcid.org/0000-0002-6990-8135 UNSPECIFIED Baldus, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Nickenig, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Kelm, Malte UNSPECIFIED orcid.org/0000-0003-0060-1052 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-138577
DOI:	10.1055/a-0663-6474
Journal or Publication Title:	Dtsch. Med. Wochenschr.
Volume:	144
Number:	11
Page Range:	S. 734 - 739
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4413
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LOW-RISK PATIENTS; TRANSCATHETER; REPLACEMENT; STENOSIS; TAVR Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13857