Advances in Transcatheter Pulmonary Valve Implantation

doi:N/A

Bangaldesh Journal of Cardivascular Medicine

2023, Volume 1, Issue 1 : 1-7

Research Article

Advances in Transcatheter Pulmonary Valve Implantation

Daniel R. Matthews

Olivia K. Hughes

Ethan M. Clarke

Amelia S. Bennett

⁴

Department of Pediatric Cardiology, Global Heart Institute, Boston, USA

Division of Congenital Heart Disease, Royal Cardiac Centre, London, UK

Department of Interventional Cardiology, University Medical Centre, Sydney, Australia

⁴

Department of Cardiovascular Sciences, European Children’s Heart Hospital, Berlin, Germany

Abstract

Background: Transcatheter pulmonary valve implantation (TPVI) has become an important alternative to surgical pulmonary valve replacement in selected patients with right ventricular outflow tract dysfunction. Objective: To review recent advances, procedural outcomes, clinical applications, and future directions of TPVI. Methods: This narrative review summarizes current evidence on TPVI devices, patient selection, imaging, procedural techniques, complications, and real-world outcomes. Results: TPVI has demonstrated high procedural success, reduced need for repeat sternotomy, improved right ventricular function, and symptomatic benefit in patients with dysfunctional conduits, bioprosthetic pulmonary valves, and selected native outflow tracts. Conclusion: TPVI is a major advancement in congenital and structural heart intervention. Continued device development and improved imaging have expanded its application to broader patient groups.

Keywords

Transcatheter pulmonary valve implantation

TPVI

Pulmonary valve replacement

Congenital heart disease

Right ventricular outflow tract

Melody valve

Sapien valve.

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