From: Percutaneous treatment of patients with heart diseases: selection, guidance and follow-up. A review
CLINICAL INDICATIONS | CLINICAL CONTRAINDICATIONS | ECHOCARDIOGRAPHIC INDICATIONS | ECHOCARDIOGRAPHIC CONTRAINDICATIONS |
---|---|---|---|
Severe AS with Symptoms and High Risk for Surgery | Life Expectancy < 1 Year Severe Respiratory Insufficiency for Transapical Approach Previous Surgery of the Left Ventricle using a Patch for Transapical Approach | Severe AS 18 < Aortic Annulus < 25 mm for SAPIEN Valve; 20 < Aortic Annulus < 27 mm for CORE Valve Aortic Tubular Junction < 45 mm for CORE Valve | Bicuspid Aortic Valve Subaortic Stenosis Height of coronary ostia from the base of aortic valve leaflets < 10 mm Asymmetric Heavy Aortic Valvular Calcification Intracardiac Thrombus Mitral Regurgitation > 2+ Left Ventricular Ejection Fraction < 20% Severe Left Ventricular Hypertrophy (< 1,7 cm) Bulky Atherosclerosis of the Ascending Aorta and Arch for Transfemoral Approach Calcified Pericardium for Transapical Approach |