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IMPELLA AND TAVR/TAVI INTERACTION, ALSO FOR SUTURELESS OR CALCIFIED AORTIC VALVES.
Transcatheter Aortic Valve Replacement is a minimally invasive procedure used to treat aortic valve stenosis
As of 2024, more than 300,000 implants have been performed worldwide.
In a simple way, two types of TAVR can be distinguished: self-expanding and balloon-expandable.
The use of the Impella device has been continuously increasing in recent years as hemodynamic support in cardiogenic shock and high-risk PCI.
Therefore, there will be in the future an increasing number of cases where the implantation of Impella in patients with prior TAVR may be considered.
It has been previously reported that interaction can occur between Impella and those self-expanding TAVR with a wide strut area in the supra-annular region
So caution must be taken when using Impella in the presence of this kind of TAVR.
