ESC Congress 2017 In Review -- Main Edition - 11

ESC Congress 2017

Several new recommendations have been added to
the guideline. After transcatheter or surgical implantation of a bioprosthetic valve, echocardiography, including measurement of transprosthetic gradients, should
be performed within 30 days after valve implantation,
1 year after implantation, and annually thereafter. Also
added is the recommendation for INR self-management (with appropriate training and quality control) for
patients with a prosthetic heart valve or valve repair
receiving antithrombotic therapy.
Table 12 summarises new recommendations for the
management of prosthetic valve dysfunction.
Table 12. New Recommendations for the Management of Prosthetic
Valve Dysfunction
Recommendations

Class

Level

I

C

Reoperation is recommended if paravalvular leak is related to endocarditis or causes haemolysis requiring repeated blood transfusions or leading to severe symptoms.

I

C

Transcatheter closure may be considered for paravalvular leaks with clinically significant regurgitation in surgical
high-risk patients (Heart Team decision).

IIb

C

Transcatheter valve-in-valve implantation in aortic position
should be considered by the Heart Team depending on the
risk of reoperation and the type and size of prosthesis.

IIa

C

Anticoagulation using a VKA and/or UFH is recommended in bioprosthetic valve thrombosis before considering
reintervention.

M E D I C A L

In Review

P U B L I S H E R S

The editors would like to thank the many
members of the ESC Congress 2017
presenting faculty who generously gave
their time to ensure the accuracy and
quality of the articles in this publication

UFH, unfractionated heparin; VKA, vitamin K antagonist.

Official Peer-Reviewed Highlights From ESC Congress 2017

11



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ESC Congress 2017 In Review -- Main Edition - Cover1
ESC Congress 2017 In Review -- Main Edition - Cover2
ESC Congress 2017 In Review -- Main Edition - 1
ESC Congress 2017 In Review -- Main Edition - 2
ESC Congress 2017 In Review -- Main Edition - Contents
ESC Congress 2017 In Review -- Main Edition - 4
ESC Congress 2017 In Review -- Main Edition - 5
ESC Congress 2017 In Review -- Main Edition - 6
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ESC Congress 2017 In Review -- Main Edition - 8
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ESC Congress 2017 In Review -- Main Edition - 11
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ESC Congress 2017 In Review -- Main Edition - 14
ESC Congress 2017 In Review -- Main Edition - 15
ESC Congress 2017 In Review -- Main Edition - 15A
ESC Congress 2017 In Review -- Main Edition - 15B
ESC Congress 2017 In Review -- Main Edition - 15C
ESC Congress 2017 In Review -- Main Edition - 15D
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ESC Congress 2017 In Review -- Main Edition - 32
ESC Congress 2017 In Review -- Main Edition - Cover3
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