Transcatheter aortic valve implantation (TAVI) has been increasingly recognized as a curative treatment for severe aortic stenosis (AS). Despite important improvements in current device technology and implantation techniques, specific complications still remain and warrant consideration. Vascular complications and peri-procedural neurological events were the first concerns to emerge with this new technology. Recently, significant post procedural para-valvular leak has been shown to be more frequent after TAVI than after surgical aortic valve replacement (SAVR), and its potential association with worse long-term prognostic has raised concerns. In moving toward treatment of lower risk populations, structural integrity and long-term durability of heat valve prosthesis are becoming of central importance. Emerging technologies and newer generations of devices seem promising in dealing with these matters.

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European Heart Journal
Department of Cardio-Thoracic Surgery

Généreux, P., Head, S., Wood, D., Kodali, S., Williams, M., Paradis, J., … Leon, M. (2012). Transcatheter aortic valve implantation: 10-year anniversary. Part II: Clinical implications. European Heart Journal (Vol. 33, pp. 2399–2402). doi:10.1093/eurheartj/ehs223