Open-chest or transcatheter aortic valve implantation?
- Authors: Chernyavsky M.A.1, Strelkov D.A.1, Zubarev D.D.1, Prokhorikhin A.A.1, Susanin N.V.1, Kazantsev A.N.1,2
-
Affiliations:
- V.A. Almazov National Medical Research Center
- Alexandrovskaya Hospital
- Issue: Vol 27, No 2 (2021)
- Pages: 153-162
- Section: Reviews
- URL: https://medjrf.com/0869-2106/article/view/76376
- DOI: https://doi.org/10.17816/0869-2106-2021-27-2-153-162
Cite item
Abstract
This literature review focuses on the choice of treatment strategies in patients with aortic stenosis. The main surgical techniques for this condition are presented. The rationale for the efficiency of transcatheter aortic valve implantation is provided. The results of studies comparing the outcomes of surgical and endovascular correction of aortic stenosis are analyzed. Particular attention is paid to the treatment choices in patients with aortic stenosis and a history of coronary artery bypass grafting. Conclusions on the perspectives of transcatheter aortic valve implantation in this cohort of patients are reached.
Full Text

About the authors
Mikhail A. Chernyavsky
V.A. Almazov National Medical Research Center
Author for correspondence.
Email: machern@mail.ru
ORCID iD: 0000-0003-1214-0150
MD, Dr. Sci. (Med.)
Russian Federation, 2 Akkuratova str., 197341, St. PetersburgDmitry A. Strelkov
V.A. Almazov National Medical Research Center
Email: dmitristrelkov111@gmail.com
ORCID iD: 0000-0002-4273-5086
Russian Federation, 2 Akkuratova str., 197341, St. Petersburg
Dmitry D. Zubarev
V.A. Almazov National Medical Research Center
Email: aaapppmmmooo@gmail.com
ORCID iD: 0000-0003-4733-0915
MD, Cand. Sci. (Med.)
Russian Federation, 2 Akkuratova str., 197341, St. PetersburgAlexey A. Prokhorikhin
V.A. Almazov National Medical Research Center
Email: aaapppmmmooo@gmail.com
ORCID iD: 0000-0003-4796-1768
MD, Cand. Sci. (Med.)
Russian Federation, 2 Akkuratova str., 197341, St. PetersburgNikolay V. Susanin
V.A. Almazov National Medical Research Center
Email: dr.susanin@mail.ru
ORCID iD: 0000-0002-8374-1503
Russian Federation, 2 Akkuratova str., 197341, St. Petersburg
Anton N. Kazantsev
V.A. Almazov National Medical Research Center; Alexandrovskaya Hospital
Email: dr.antonio.kazantsev@mail.ru
ORCID iD: 0000-0002-1115-609X
Russian Federation, 2 Akkuratova str., 197341, St. Petersburg; St. Petersburg
References
- Shehada SE, Elhmidi Y, Ozturk O, et al. Transcatheter versus Surgical Aortic Valve Replacement after Previous Cardiac Surgery: A Systematic Review and Meta-Analysis. Cardiol Res Pract. 2018;2018:4615043. doi: 10.1155/2018/4615043
- Reardon MJ, Van Mieghem NM, Popma JJ, et al. Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2017;376(14):1321–1331. doi: 10.1056/NEJMoa1700456
- Shehada SE, Elhmidi Y, Puluca N, et al. Impact of previous cardiac surgery in patients undergoing transcatheter aortic valve implantation: a systematic review. J Cardiovasc Surg (Torino). 2017;58(5):787–793. doi: 10.23736/S0021-9509.17.09636-7
- American College of C, American Heart Association Task Force on Practice G, Society of Cardiovascular A, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2006;48(3):e1–148. doi: 10.1016/j.jacc.2006.05.021
- Biancari F, Onorati F, Mariscalco G, et al. First-time, isolated surgical aortic valve replacement after prior coronary artery bypass surgery: results from the RECORD multicenter registry. J Card Surg. 2014;29(4):450–454. doi: 10.1111/jocs.12365
- Khaladj N, Shrestha M, Peterss S, et al. Isolated surgical aortic valve replacement after previous coronary artery bypass grafting with patent grafts: is this old-fashioned technique obsolete? Eur J Cardiothorac Surg. 2009;35(2):260–264; discussion 264. doi: 10.1016/j.ejcts.2008.09.051
- Boning A, Burger S, Fraund S, et al. Should the aortic valve be replaced in patients with mild aortic stenosis admitted for coronary surgery? Thorac Cardiovasc Surg. 2008;56(8):467–470. doi: 10.1055/s-2008-1038840
- Misawa Y, Shindo Y. Heart Valve Surgery in Patients with Patent Coronary Artery Bypass Grafts. Ann Thorac Cardiovasc Surg. 2018;24(3):167. doi: 10.5761/atcs.lte.17-00207
- Jegaden O, Lapeze J, Farhart F, de Gevigney G. Aortic valve stenosis after previous coronary bypass: transcatheter valve implantation or aortic valve replacement? J Cardiothorac Surg. 2012;7:47. doi: 10.1186/1749-8090-7-47
- Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135(25):e1159–e1195. doi: 10.1161/CIR.0000000000000503
- Eitz T, Kleikamp G, Minami K, Korfer R. The prognostic value of calcification and impaired valve motion in combined aortic stenosis and coronary artery disease. J Heart Valve Dis. 2002;11(5):713–718.
- Vahanian A, Alfieri O, Andreotti F, et al. [Guidelines on the management of valvular heart disease (version 2012). The Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)]. G Ital Cardiol (Rome). 2013;14(3):167–214. doi: 10.1714/1234.13659
- Joint Task Force on the Management of Valvular Heart Disease of the European Society of C, European Association for Cardio-Thoracic S, Vahanian A, et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J. 2012;33(19):2451–2496. doi: 10.1093/eurheartj/ehs109
- Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63(22):2438–2488. doi: 10.1016/j.jacc.2014.02.537
- Osman M, Ghaffar YA, Foster T, et al. Meta-Analysis of Outcomes of Transcatheter Aortic Valve Implantation Among Patients With Low Gradient Severe Aortic Stenosis. Am J Cardiol. 2019;124(3):423–429. doi: 10.1016/j.amjcard.2019.05.006
- Darmoch F, Alraies MC, Al-Khadra Y, et al. Outcome of Transcatheter Aortic Valve Implantation in Patients with Peripheral Vascular Disease. Am J Cardiol. 2019;124(3):416–422. doi: 10.1016/j.amjcard.2019.04.047
- Sedeek AF, Greason KL, Sandhu GS, et al. Transcatheter Valve-in-Valve Vs Surgical Replacement of Failing Stented Aortic Biological Valves. Ann Thorac Surg. 2019;108(2):424–430. doi: 10.1016/j.athoracsur.2019.03.084
- Wernly B, Eder S, Navarese EP, et al. Transcatheter aortic valve replacement for pure aortic valve regurgitation: “on-label” versus “off-label” use of TAVR devices. Clin Res Cardiol. 2019;108(8):921–930. doi: 10.1007/s00392-019-01422-0
- Dawson LP, Dagan M, Koh Y, et al. Factors That Prevent Progression to Transcatheter Aortic Valve Implantation (TAVI). Heart Lung Circ. 2019;28(8):1225–1234. doi: 10.1016/j.hlc.2018.07.004
- El Sabbagh A, Al-Hijji M, Alkhouli M. Aortic valve replacement in intermediate risk patients in the international community: Time to hop on the TAVI train. Int J Cardiol. 2019;294:37–38. doi: 10.1016/j.ijcard.2019.07.088
- Fox H, Buttner S, Hemmann K, et al. Transcatheter aortic valve implantation improves outcome compared to open-heart surgery in kidney transplant recipients requiring aortic valve replacement. J Cardiol. 2013;61(6):423–427. doi: 10.1016/j.jjcc.2013.01.016
- Leon MB, Smith CR, Mack MJ, et al. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2016;374(17):1609–1620. doi: 10.1056/NEJMoa1514616
- Freitas-Ferraz AB, Tirado-Conte G, Dagenais F, et al. Aortic Stenosis and Small Aortic Annulus. Circulation. 2019;139(23):2685–2702. doi: 10.1161/CIRCULATIONAHA.118.038408
- Goeddel LA, Serini J, Steyn JW, et al. Transcatheter Aortic Valve Replacements: Current Trends and Future Directions. Semin Cardiothorac Vasc Anesth. 2019;23(3):282–292. doi: 10.1177/1089253218779389
- Waksman R., Rogers T., Torguson R., et al. Transcatheter Aortic Valve Replacement in Low-Risk Patients With Symptomatic Severe Aortic Stenosis. J Am Coll Cardiol. 2018. Vol. 72, N 18. P. 2095–2105. doi: 10.1016/j.jacc.2018.08.1033
- Faridi KF, Yeh RW, Poulin MF. Treating Symptomatic Aortic Stenosis With Transcatheter Aortic Valve Replacement: Is There Time to Wait? J Am Heart Assoc. 2019;8(1):e011527. doi: 10.1161/JAHA.118.011527
- Bavaria JE, Tommaso CL, Brindis RG, et al. 2018 AATS/ACC/SCAI/STS Expert Consensus Systems of Care Document: Operator and Institutional Recommendations and Requirements for Transcatheter Aortic Valve Replacement: A Joint Report of the American Association for Thoracic Surgery, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, and The Society of Thoracic Surgeons. Ann Thorac Surg. 2019;107(2):650–684. doi: 10.1016/j.athoracsur.2018.07.001
- Otto CM, Kumbhani DJ, Alexander KP, et al. 2017 ACC Expert Consensus Decision Pathway for Transcatheter Aortic Valve Replacement in the Management of Adults With Aortic Stenosis: A Report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol. 2017;69(10):1313–1346. doi: 10.1016/j.jacc.2016.12.006
- Wijeysundera HC, Wong WW, Bennell MC, et al. Impact of wait times on the effectiveness of transcatheter aortic valve replacement in severe aortic valve disease: a discrete event simulation model. Can J Cardiol. 2014;30(10):1162–1169. doi: 10.1016/j.cjca.2014.03.009
- Elbaz-Greener G, Yarranton B, Qiu F, et al. Association Between Wait Time for Transcatheter Aortic Valve Replacement and Early Postprocedural Outcomes. J Am Heart Assoc. 2019;8(1):e010407. doi: 10.1161/JAHA.118.010407
- Nalluri N, Atti V, Patel NJ, et al. Propensity matched comparison of in-hospital outcomes of TAVR vs. SAVR in patients with previous history of CABG: Insights from the Nationwide inpatient sample. Catheter Cardiovasc Interv. 2018;92(7):1417–1426. doi: 10.1002/ccd.27708
- Gupta T, Khera S, Kolte D, et al. Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting: Trends in Utilization and Propensity-Matched Analysis of In-Hospital Outcomes. Circ Cardiovasc Interv. 2018;11(4):e006179. doi: 10.1161/CIRCINTERVENTIONS.117.006179
- Reinohl J, Kaier K, Reinecke H, et al. Transcatheter Aortic Valve Replacement: The New Standard in Patients With Previous Coronary Bypass Grafting? JACC Cardiovasc Interv. 2016;9(20):2137–2143. doi: 10.1016/j.jcin.2016.07.035
- Stortecky S, Brinks H, Wenaweser P, et al. Transcatheter aortic valve implantation or surgical aortic valve replacement as redo procedure after prior coronary artery bypass grafting. Ann Thorac Surg. 2011;92(4):1324–1330; discussion 1230-1321. doi: 10.1016/j.athoracsur.2011.05.106
- Nguyen TC, Babaliaros VC, Razavi SA, et al. Transcatheter aortic valve replacement has improved short-term but similar midterm outcomes in isolated aortic valve replacement after prior coronary artery bypass grafting. Ann Thorac Surg. 2014;98(4):1316–1324. doi: 10.1016/j.athoracsur.2014.05.081
- Conte JV, Gleason TG, Resar JR, et al. Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting. Ann Thorac Surg. 2016;101(1):72–79; discussion 79. doi: 10.1016/j.athoracsur.2015.06.067
- Ando T, Briasoulis A, Holmes AA, et al. Transcatheter aortic valve replacement versus surgical aortic valve replacement in patients with previous coronary artery bypass surgery: A systematic review and meta-analysis. Int J Cardiol. 2016;215:14–19.
- doi: 10.1016/j.ijcard.2016.04.033
- Nguyen TC, Babaliaros VC, Razavi SA, et al. Transcatheter aortic valve replacement has improved short-term but similar midterm outcomes in isolated aortic valve replacement after prior coronary artery bypass grafting. Ann Thorac Surg. 2014;98(4):1316–1324.
- doi: 10.1016/j.athoracsur.2014.05.081
- Reardon MJ, Heijmen RH, Van Mieghem NM, et al. Comparison of Outcomes After Transcatheter vs Surgical Aortic Valve Replacement Among Patients at Intermediate Operative Risk With a History of Coronary Artery Bypass Graft Surgery. JAMA Cardiology. 2019;4(8):810. doi: 10.1001/jamacardio.2019.1856
- Ando T, Briasoulis A, Holmes AA, et al. Transcatheter aortic valve replacement versus surgical aortic valve replacement in patients with previous coronary artery bypass surgery: A systematic review and meta-analysis. Int J Cardiol. 2016;215:14–19.
- doi: 10.1016/j.ijcard.2016.04.033
- Papadopoulos N, Schiller N, Fichtlscherer S, et al. Propensity matched analysis of longterm outcomes following transcatheter based aortic valve implantation versus classic aortic valve replacement in patients with previous cardiac surgery. J Cardiothorac Surg. 2014;9:99. doi: 10.1186/1749-8090-9-99
- Papadopoulos N, Ilioska P, Fichtlscherer S, et al. Transapical aortic valve implantation in patients with previous cardiac surgery. Ann Thorac Surg. 2014;97(1):37–42. doi: 10.1016/j.athoracsur.2013.07.077
- Elmariah S, Palacios IF, McAndrew T, et al. Outcomes of transcatheter and surgical aortic valve replacement in high-risk patients with aortic stenosis and left ventricular dysfunction: results from the Placement of Aortic Transcatheter Valves (PARTNER) trial (cohort A). Circ Cardiovasc Interv. 2013;6(6):604–614. doi: 10.1161/CIRCINTERVENTIONS.113.000650
- Clavel MA, Webb JG, Rodes-Cabau J, et al. Comparison between transcatheter and surgical prosthetic valve implantation in patients with severe aortic stenosis and reduced left ventricular ejection fraction. Circulation. 2010;122(19):1928–1936. doi: 10.1161/CIRCULATIONAHA.109.929893
- Wenaweser P, Pilgrim T, Kadner A, et al. Clinical outcomes of patients with severe aortic stenosis at increased surgical risk according to treatment modality. J Am Coll Cardiol. 2011;58(21):2151–2162. doi: 10.1016/j.jacc.2011.05.063
- Farhat F, Aubert S, Rosamel P, Jegaden O. Inferior T hemisternotomy after previous bypass grafting with the in situ RITA in front of the aorta. Ann Thorac Surg. 2005;80(4):1532–1533. doi: 10.1016/j.athoracsur.2004.04.075
- Yan TD, Cao C, Martens-Nielsen J, et al. Transcatheter aortic valve implantation for high-risk patients with severe aortic stenosis: A systematic review. J Thorac Cardiovasc Surg. 2010;139(6):1519–1528. doi: 10.1016/j.jtcvs.2009.08.037
- Khaladj N, Shrestha M, Peterss S, et al. Isolated surgical aortic valve replacement after previous coronary artery bypass grafting with patent grafts: is this old-fashioned technique obsolete? Eur J Cardiothorac Surg. 2009;35(2):260–264; discussion 264. doi: 10.1016/j.ejcts.2008.09.051
- Dewey TM, Brown DL, Herbert MA, et al. Effect of concomitant coronary artery disease on procedural and late outcomes of transcatheter aortic valve implantation. Ann Thorac Surg. 2010;89(3):758–767; discussion 767. doi: 10.1016/j.athoracsur.2009.12.033
- Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364(23):2187–2198. doi: 10.1056/NEJMoa1103510
- Drews T, Pasic M, Buz S, et al. Transapical aortic valve implantation after previous heart surgery. Eur J Cardiothorac Surg. 2011;39(5):625–630. doi: 10.1016/j.ejcts.2010.06.023
- Osnabrugge RL, Speir AM, Head SJ, et al. Performance of EuroSCORE II in a large US database: implications for transcatheter aortic valve implantation. Eur J Cardiothorac Surg. 2014;46(3):400–408; discussion 408. doi: 10.1093/ejcts/ezu033
- Barili F, Pacini D, Capo A, et al. Does EuroSCORE II perform better than its original versions? A multicentre validation study. Eur Heart J. 2013;34(1):22–29. doi: 10.1093/eurheartj/ehs342
- Iung B, Laouenan C, Himbert D, et al. Predictive factors of early mortality after transcatheter aortic valve implantation: individual risk assessment using a simple score. Heart. 2014;100(13):1016–1023. doi: 10.1136/heartjnl-2013-305314
- Edwards FH, Cohen DJ, O'Brien SM, et al. Development and Validation of a Risk Prediction Model for In-Hospital Mortality After Transcatheter Aortic Valve Replacement. JAMA Cardiol. 2016;1(1):46–52. doi: 10.1001/jamacardio.2015.0326
