Transcatheter Valve Replacement for Right-sided Valve Disease in Congenital Heart Patients.

dc.contributor.author

Gales, Jordan

dc.contributor.author

Krasuski, Richard A

dc.contributor.author

Fleming, Gregory A

dc.date.accessioned

2019-02-01T14:33:37Z

dc.date.available

2019-02-01T14:33:37Z

dc.date.issued

2018-09-17

dc.date.updated

2019-02-01T14:33:37Z

dc.description.abstract

Pulmonary and/or tricuspid valve dysfunction is common among individuals with congenital heart disease, and surgical intervention often carries prohibitive risks. Transcatheter valve replacement (TVR) of the right-sided cardiac valves has become a viable treatment option over the past two decades, while continued technological development aims to broaden its applicability to an even larger portion of those with repaired congenital heart disease. To date, two transcatheter valves have been approved for use in patients with dysfunctional right ventricular to pulmonary artery conduits as well as those with failing pulmonic bioprosthetic valves, and are also used off-label in the "native" RVOT and within surgically repaired/replaced but failing tricuspid valves. TVR has demonstrated comparable safety and short-term outcomes to that of surgical valve replacement. This article aims to review current available devices, focusing on their safety, efficacy and on and off label usage, while briefly describing some of the emerging devices and novel procedural techniques that will likely lead to significant expansion of transcatheter treatment of right sided valve disease in the future.

dc.identifier

S0033-0620(18)30186-5

dc.identifier.issn

0033-0620

dc.identifier.issn

1873-1740

dc.identifier.uri

https://hdl.handle.net/10161/17933

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Progress in cardiovascular diseases

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10.1016/j.pcad.2018.09.003

dc.subject

Pulmonary Valve

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Tricuspid Valve

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Humans

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Heart Defects, Congenital

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Heart Valve Diseases

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Treatment Outcome

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Heart Valve Prosthesis Implantation

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Heart Valve Prosthesis

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Adult

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Cardiac Catheterization

dc.title

Transcatheter Valve Replacement for Right-sided Valve Disease in Congenital Heart Patients.

dc.type

Journal article

duke.contributor.orcid

Krasuski, Richard A|0000-0003-3150-5215

pubs.begin-page

347

pubs.end-page

359

pubs.issue

3-4

pubs.organisational-group

School of Medicine

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Duke

pubs.organisational-group

Medicine, Cardiology

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Medicine

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Clinical Science Departments

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Pediatrics, Cardiology

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Pediatrics

pubs.publication-status

Published

pubs.volume

61

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