Cusp Overlap Technique: Should It Become the Standard Implantation Technique for Self-expanding Valves?
Purpose of Review Accurate imaging of the aortic root during valve implantation is crucial for proper prosthesis positioning during TAVR. The purpose of this review was to determine if routine use of the cusp-overlap view should be adopted for self-expanding valves. Recent Findings The use of the cu...
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| Veröffentlicht in: | Current cardiology reports 2021-11, Vol.23 (11), p.154-154, Article 154 |
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| creator | Sengupta, Aditya Alexis, Sophia L. Lee, Timothy Zaid, Syed Krishnamoorthy, Parasuram M. Khera, Sahil Lerakis, Stamatios Anastasius, Malcolm Dangas, George D. Sharma, Samin K. Kini, Annapoorna S. Tang, Gilbert H. L. |
| description | Purpose of Review
Accurate imaging of the aortic root during valve implantation is crucial for proper prosthesis positioning during TAVR. The purpose of this review was to determine if routine use of the cusp-overlap view should be adopted for self-expanding valves.
Recent Findings
The use of the cusp-overlap view with the Evolut, Portico, ACURATE neo/neo2, and JenaValve systems is associated with lower post-procedural new permanent pacemaker implantation rates when compared with the standard 3-cusp view, presumably due to more precise valve implantation relative to the conduction system by the non-coronary cusp.
Summary
By elongating the left ventricular outflow tract and accentuating the right-non commissure in the center of the fluoroscopic view, the cusp-overlap technique allows operators to more precisely control the prosthesis implant depth during self-expanding valve deployment. While the early experience with this approach in Evolut TAVR has been promising, the results of larger studies with longer follow-up across multiple self-expanding systems are warranted. |
| doi_str_mv | 10.1007/s11886-021-01583-3 |
| format | Article |
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Accurate imaging of the aortic root during valve implantation is crucial for proper prosthesis positioning during TAVR. The purpose of this review was to determine if routine use of the cusp-overlap view should be adopted for self-expanding valves.
Recent Findings
The use of the cusp-overlap view with the Evolut, Portico, ACURATE neo/neo2, and JenaValve systems is associated with lower post-procedural new permanent pacemaker implantation rates when compared with the standard 3-cusp view, presumably due to more precise valve implantation relative to the conduction system by the non-coronary cusp.
Summary
By elongating the left ventricular outflow tract and accentuating the right-non commissure in the center of the fluoroscopic view, the cusp-overlap technique allows operators to more precisely control the prosthesis implant depth during self-expanding valve deployment. While the early experience with this approach in Evolut TAVR has been promising, the results of larger studies with longer follow-up across multiple self-expanding systems are warranted.</description><identifier>ISSN: 1523-3782</identifier><identifier>ISSN: 1534-3170</identifier><identifier>EISSN: 1534-3170</identifier><identifier>DOI: 10.1007/s11886-021-01583-3</identifier><identifier>PMID: 34599425</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aortic Valve - diagnostic imaging ; Aortic Valve - surgery ; Aortic Valve Stenosis - diagnostic imaging ; Aortic Valve Stenosis - surgery ; Cardiology ; Heart Valve Prosthesis ; Humans ; Medicine ; Medicine & Public Health ; New Therapies for Cardiovascular Disease (AA Bavry and MR Massoomi ; Prosthesis Design ; Section Editors ; Topical Collection on New Therapies for Cardiovascular Disease ; Transcatheter Aortic Valve Replacement ; Treatment Outcome</subject><ispartof>Current cardiology reports, 2021-11, Vol.23 (11), p.154-154, Article 154</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-14a683d0b01eaff548e8a4c9beea4c0ad45bc6a7f2f23710bd055a485231bd913</citedby><cites>FETCH-LOGICAL-c446t-14a683d0b01eaff548e8a4c9beea4c0ad45bc6a7f2f23710bd055a485231bd913</cites><orcidid>0000-0001-9217-9252</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11886-021-01583-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11886-021-01583-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34599425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sengupta, Aditya</creatorcontrib><creatorcontrib>Alexis, Sophia L.</creatorcontrib><creatorcontrib>Lee, Timothy</creatorcontrib><creatorcontrib>Zaid, Syed</creatorcontrib><creatorcontrib>Krishnamoorthy, Parasuram M.</creatorcontrib><creatorcontrib>Khera, Sahil</creatorcontrib><creatorcontrib>Lerakis, Stamatios</creatorcontrib><creatorcontrib>Anastasius, Malcolm</creatorcontrib><creatorcontrib>Dangas, George D.</creatorcontrib><creatorcontrib>Sharma, Samin K.</creatorcontrib><creatorcontrib>Kini, Annapoorna S.</creatorcontrib><creatorcontrib>Tang, Gilbert H. L.</creatorcontrib><title>Cusp Overlap Technique: Should It Become the Standard Implantation Technique for Self-expanding Valves?</title><title>Current cardiology reports</title><addtitle>Curr Cardiol Rep</addtitle><addtitle>Curr Cardiol Rep</addtitle><description>Purpose of Review
Accurate imaging of the aortic root during valve implantation is crucial for proper prosthesis positioning during TAVR. The purpose of this review was to determine if routine use of the cusp-overlap view should be adopted for self-expanding valves.
Recent Findings
The use of the cusp-overlap view with the Evolut, Portico, ACURATE neo/neo2, and JenaValve systems is associated with lower post-procedural new permanent pacemaker implantation rates when compared with the standard 3-cusp view, presumably due to more precise valve implantation relative to the conduction system by the non-coronary cusp.
Summary
By elongating the left ventricular outflow tract and accentuating the right-non commissure in the center of the fluoroscopic view, the cusp-overlap technique allows operators to more precisely control the prosthesis implant depth during self-expanding valve deployment. While the early experience with this approach in Evolut TAVR has been promising, the results of larger studies with longer follow-up across multiple self-expanding systems are warranted.</description><subject>Aortic Valve - diagnostic imaging</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - diagnostic imaging</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Cardiology</subject><subject>Heart Valve Prosthesis</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>New Therapies for Cardiovascular Disease (AA Bavry and MR Massoomi</subject><subject>Prosthesis Design</subject><subject>Section Editors</subject><subject>Topical Collection on New Therapies for Cardiovascular Disease</subject><subject>Transcatheter Aortic Valve Replacement</subject><subject>Treatment Outcome</subject><issn>1523-3782</issn><issn>1534-3170</issn><issn>1534-3170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UctOwzAQtBCI9w9wQD5yCfiZuBxAUPGSkHoocLWcZNMGJXawkwr-HkPL68JpV7szY88OQgeUHFNCspNAqVJpQhhNCJWKJ3wNbVPJRcJpRtY_ehaHmWJbaCeEZ0JYpIlNtMWFHI0Ek9toNh5ChycL8I3p8AMUc1u_DHCKp3M3NCW-6_ElFK4F3M8BT3tjS-PjuO0aY3vT187-sHDlPJ5CUyXw2kVkbWf4yTQLCOd7aKMyTYD9Vd1Fj9dXD-Pb5H5ycze-uE8KIdI-ocKkipckJxRMVUmhQBlRjHKAWIgphcyL1GQVqxjPKMlLIqURKhqleTmifBedLXW7IW-hLMD23jS683Vr_Jt2ptZ_N7ae65lbaKWElBmLAkcrAe-ipdDrtg4FNNEuuCFoJjOVpZxLGaFsCS28C8FD9f0MJfojIb1MSMeE9GdCmkfS4e8PflO-IokAvgSEuLIz8PrZDd7Go_0n-w5nzp4v</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Sengupta, Aditya</creator><creator>Alexis, Sophia L.</creator><creator>Lee, Timothy</creator><creator>Zaid, Syed</creator><creator>Krishnamoorthy, Parasuram M.</creator><creator>Khera, Sahil</creator><creator>Lerakis, Stamatios</creator><creator>Anastasius, Malcolm</creator><creator>Dangas, George D.</creator><creator>Sharma, Samin K.</creator><creator>Kini, Annapoorna S.</creator><creator>Tang, Gilbert H. L.</creator><general>Springer US</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9217-9252</orcidid></search><sort><creationdate>20211101</creationdate><title>Cusp Overlap Technique: Should It Become the Standard Implantation Technique for Self-expanding Valves?</title><author>Sengupta, Aditya ; Alexis, Sophia L. ; Lee, Timothy ; Zaid, Syed ; Krishnamoorthy, Parasuram M. ; Khera, Sahil ; Lerakis, Stamatios ; Anastasius, Malcolm ; Dangas, George D. ; Sharma, Samin K. ; Kini, Annapoorna S. ; Tang, Gilbert H. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-14a683d0b01eaff548e8a4c9beea4c0ad45bc6a7f2f23710bd055a485231bd913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aortic Valve - diagnostic imaging</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - diagnostic imaging</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Cardiology</topic><topic>Heart Valve Prosthesis</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>New Therapies for Cardiovascular Disease (AA Bavry and MR Massoomi</topic><topic>Prosthesis Design</topic><topic>Section Editors</topic><topic>Topical Collection on New Therapies for Cardiovascular Disease</topic><topic>Transcatheter Aortic Valve Replacement</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sengupta, Aditya</creatorcontrib><creatorcontrib>Alexis, Sophia L.</creatorcontrib><creatorcontrib>Lee, Timothy</creatorcontrib><creatorcontrib>Zaid, Syed</creatorcontrib><creatorcontrib>Krishnamoorthy, Parasuram M.</creatorcontrib><creatorcontrib>Khera, Sahil</creatorcontrib><creatorcontrib>Lerakis, Stamatios</creatorcontrib><creatorcontrib>Anastasius, Malcolm</creatorcontrib><creatorcontrib>Dangas, George D.</creatorcontrib><creatorcontrib>Sharma, Samin K.</creatorcontrib><creatorcontrib>Kini, Annapoorna S.</creatorcontrib><creatorcontrib>Tang, Gilbert H. L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Current cardiology reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sengupta, Aditya</au><au>Alexis, Sophia L.</au><au>Lee, Timothy</au><au>Zaid, Syed</au><au>Krishnamoorthy, Parasuram M.</au><au>Khera, Sahil</au><au>Lerakis, Stamatios</au><au>Anastasius, Malcolm</au><au>Dangas, George D.</au><au>Sharma, Samin K.</au><au>Kini, Annapoorna S.</au><au>Tang, Gilbert H. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cusp Overlap Technique: Should It Become the Standard Implantation Technique for Self-expanding Valves?</atitle><jtitle>Current cardiology reports</jtitle><stitle>Curr Cardiol Rep</stitle><addtitle>Curr Cardiol Rep</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>23</volume><issue>11</issue><spage>154</spage><epage>154</epage><pages>154-154</pages><artnum>154</artnum><issn>1523-3782</issn><issn>1534-3170</issn><eissn>1534-3170</eissn><abstract>Purpose of Review
Accurate imaging of the aortic root during valve implantation is crucial for proper prosthesis positioning during TAVR. The purpose of this review was to determine if routine use of the cusp-overlap view should be adopted for self-expanding valves.
Recent Findings
The use of the cusp-overlap view with the Evolut, Portico, ACURATE neo/neo2, and JenaValve systems is associated with lower post-procedural new permanent pacemaker implantation rates when compared with the standard 3-cusp view, presumably due to more precise valve implantation relative to the conduction system by the non-coronary cusp.
Summary
By elongating the left ventricular outflow tract and accentuating the right-non commissure in the center of the fluoroscopic view, the cusp-overlap technique allows operators to more precisely control the prosthesis implant depth during self-expanding valve deployment. While the early experience with this approach in Evolut TAVR has been promising, the results of larger studies with longer follow-up across multiple self-expanding systems are warranted.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34599425</pmid><doi>10.1007/s11886-021-01583-3</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9217-9252</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Current cardiology reports, 2021-11, Vol.23 (11), p.154-154, Article 154 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Aortic Valve - diagnostic imaging Aortic Valve - surgery Aortic Valve Stenosis - diagnostic imaging Aortic Valve Stenosis - surgery Cardiology Heart Valve Prosthesis Humans Medicine Medicine & Public Health New Therapies for Cardiovascular Disease (AA Bavry and MR Massoomi Prosthesis Design Section Editors Topical Collection on New Therapies for Cardiovascular Disease Transcatheter Aortic Valve Replacement Treatment Outcome |
| title | Cusp Overlap Technique: Should It Become the Standard Implantation Technique for Self-expanding Valves? |
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