出版社：Japan Society of Circulation Control in Medicine
摘要：Aortic valve replacement is still mass invasive for the elderly and high risk patients, so minimally invasive surgical techniques are necessary with new hybrid team. Transcatheter aortic valve implantation (TAVI) has been performed in over 100,000 cases for high risk patients across the globe. In our institution, we have performed TAVI over 300 cases with SAPIEN XT, CoreValve, Symetis ACURATE and Lotus valve since 2009. And the hybrid team with cardiologists, adiologists, co-medicals, and cardiovascular surgeons was established from the beginning of TAVI. We have achieved excellent early and mid-term results until now. As the next step, we need new generation TAVI devices that are suitable for the anatomy and body surface area of Japanese patients. The fantastic outcomes may be attributed to our hybrid heart team and the next generation devices. Although durability assessment is absolutely imperative, TAVI would be a good alternative to open surgeries within the next decade.
