| 000 | 02294nam a22003377a 4500 | ||
|---|---|---|---|
| 008 | 221018s20222022 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a2471-254X | ||
| 024 | _a10.1002/hep4.2094 [doi] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a36166191 | ||
| 245 | _aApproach to the patient with decompensated cirrhosis and aortic stenosis during liver transplantation evaluation. [Review] | ||
| 251 | _aHepatology Communications. 2022 Sep 27 | ||
| 252 | _aHepatol. commun.. 2022 Sep 27 | ||
| 253 | _aHepatology communications | ||
| 260 | _c2022 | ||
| 260 | _fFY2023 | ||
| 260 | _p2022 Sep 27 | ||
| 265 | _saheadofprint | ||
| 266 | _d2022-10-20 | ||
| 520 | _aAortic stenosis (AS) is the most common valvular disease and is reported to be present in 2%-7% of people over the age of 65. Risk factors for aortic stenosis and NASH overlap; thus, as the population ages, there is an increased likelihood that patients undergoing liver transplantation evaluation may have severe aortic stenosis. There is a high mortality rate associated with cardiac surgeries in patients with cirrhosis. Further, there are no guidelines that assist in the decision making process for patients with cirrhosis and AS. In this review, we highlight key studies that compare transcatheter aortic valve implantation (TAVI) with surgical aortic valve replacement (SAVR) in patients with cirrhosis. We propose an algorithm as to how to approach the patient with aortic stenosis and considerations unique to patients with cirrhosis (i.e., anticoagulation, EGD for variceal assessment; need to determine timing after TAVI before listing). Copyright © 2022 The Authors. Hepatology Communications published by Wiley Periodicals LLC on behalf of American Association for the Study of Liver Diseases. | ||
| 546 | _aEnglish | ||
| 650 | _aIN PROCESS -- NOT YET INDEXED | ||
| 656 | _aMedStar Georgetown University Hospital/MedStar Washington Hospital Center | ||
| 656 | _aTransplant Hepatology Fellowship | ||
| 657 | _aJournal Article | ||
| 657 | _aReview | ||
| 700 |
_aNguyen, Veronica _bMGUH _cTransplant Hepatology Fellowship _dMD _eAlumni |
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| 790 | _aDe Marchi L, Duong N, Nguyen V, Thomas A | ||
| 856 |
_uhttps://dx.doi.org/10.1002/hep4.2094 _zhttps://dx.doi.org/10.1002/hep4.2094 |
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| 942 |
_cART _dArticle |
||
| 999 |
_c282 _d282 |
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