Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the Association for Acute Cardiovascular (ACVC) and the ESC Working Group on Cardiovascular Surgery. - Université de Rennes Accéder directement au contenu
Article Dans Une Revue EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology Année : 2023

Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the Association for Acute Cardiovascular (ACVC) and the ESC Working Group on Cardiovascular Surgery.

1 Unipd - Università degli Studi di Padova = University of Padua
2 HEGP - Hôpital Européen Georges Pompidou [APHP]
3 St. Johannes Hospital Duisburg
4 HDC - Heart and Diabetes Center NRW [Bad Oeynhausen, Germany]
5 IMU - Innsbruck Medical University = Medizinische Universität Innsbruck
6 NMS - NOVA Medical School - Faculdade de Ciências Médicas
7 Université de Lisbonne
8 San Raffaele Scientific Institute
9 University of Freiburg [Freiburg]
10 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
11 LTSI - Laboratoire Traitement du Signal et de l'Image
12 UJ - Uniwersytet Jagielloński w Krakowie = Jagiellonian University
13 Clinique Pasteur [Toulouse]
14 University of Naples Federico II = Università degli studi di Napoli Federico II
15 UNIL - Université de Lausanne = University of Lausanne
16 CHUV - Centre Hospitalier Universitaire Vaudois = Lausanne University Hospital [Lausanne]
17 Copenhagen University Hospital
18 Duke Clinical Research Institute
19 Medizinische Universität Wien = Medical University of Vienna
20 LMU - Ludwig Maximilian University [Munich] = Ludwig Maximilians Universität München
21 NIC - National Institute of Cardiology [Warsaw, Poland]
22 Humanitas Clinical and Research Center [Rozzano, Milan, Italy]
23 ULaval - Université Laval [Québec]
24 CHU Bordeaux
25 Leipzig University / Universität Leipzig
26 Uniklinik Essen - Universitätsklinikum Essen [Universität Duisburg-Essen]
27 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
28 University Medical Center [Mainz]

Résumé

Valvular heart disease (VHD) is one of the most frequent causes of heart failure (HF) and is associated with poor prognosis, particularly among patients with conservative management. The development and improvement of catheter-based VHD interventions have broadened the indications for transcatheter valve interventions from inoperable/high-risk patients to younger/lower-risk patients. Cardiogenic shock (CS) associated with severe VHD is a clinical condition with a very high risk of mortality for which surgical treatment is often deemed a prohibitive risk. Transcatheter valve interventions might be a promising alternative in this setting given that they are less invasive. However, supportive scientific evidence is scarce and often limited to small case series. Current guidelines on VHD do not contain specific recommendations on how to manage patients with both VHD and CS. The purpose of this clinical consensus statement, developed by a group of international experts invited by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Scientific Documents and Initiatives Committee, is to perform a review of the available scientific evidence on the management of CS associated with left-sided VHD and to provide a rationale and practical approach for the application of transcatheter valve interventions in this specific clinical setting.
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Dates et versions

hal-04196088 , version 1 (30-11-2023)

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Chiara Fraccaro, Nicole Karam, Helge Möllmann, Sabine Bleiziffer, Nikolaos Bonaros, et al.. Transcatheter interventions for left-sided valvular heart disease complicated by cardiogenic shock: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the Association for Acute Cardiovascular (ACVC) and the ESC Working Group on Cardiovascular Surgery.. EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2023, 19 (8), pp.634-651. ⟨10.4244/EIJ-D-23-00473⟩. ⟨hal-04196088⟩
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