Tratamentul endovascular al stenozei aortice
Severe aortic valve narrowing can hinder blood flow from the heart, leading to symptoms like shortness of breath and chest pain. When the condition worsens, valve replacement is necessary, tailored to each patient. Dr. Aida Badea discusses transcatheter aortic valve replacement (TAVI). Aortic stenosis often results from progressive calcification and becomes dangerous when severe. Echocardiography assesses the narrowing and its impact on the heart, guiding treatment planning. While medication may alleviate symptoms, it cannot resolve the valve obstruction. TAVI allows for the implantation of a biological valve via catheter, typically through the femoral artery, avoiding traditional chest opening. The choice between TAVI and surgery depends on age, anatomy, operative risk, and associated diseases. Current European guidelines recommend TAVI for many suitable patients but favor surgery for younger patients with lower operative risk. Decisions should involve a specialized…