Do transcatheter valves and sutureless valves provide non-inferior or improved outcomes compared to conventional surgery in patients with aortic stenosis?
Recent advances in transcatheter and sutureless valves have expanded treatment options for aortic stenosis, demonstrating non-inferiority to conventional surgery in intermediate and high-risk patients.
Aortic valve replacement is no longer an operation that is approached solely through a median sternotomy. Recent advances in the fields of transcatheter valves have expanded the proportion of patients eligible for intervention. Comparisons between transcatheter valves and conventional surgery have shown non-inferiority of transcatheter valve implants in patients with a high or intermediate pre-operative predictive risk. With advances in our understanding of sutureless valves and their applicability to minimally invasive surgery, the invasiveness and trauma of surgery can be reduced with potential improvements in outcome. The strategy of care has radically changed over the last decade.
Al‐Adhami et al. (Thu,) studied this question.
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