Why the study?
Increasing numbers of elderly patients with comorbidities undergoing cardiopulmonary bypass face elevated complication risks, necessitating evaluation of alternative surgical methods for pronounced aortic stenosis.
Does transcatheter aortic valve implantation (TAVI) improve outcomes compared to surgical aortic valve replacement in patients with severe aortic stenosis?
Comparison
TAVI vs surgical aortic valve replacement
Design
Narrative review with clinical case description
Key result
Transcatheter aortic valve implantation (TAVI) possesses significant advantages over surgical replacement and is a method of choice for elderly patients irrespective of surgical risk level.
Authors
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Supports TAVI preference in elderly severe AS; leaves open confirmatory RCTs across risk strata.
Does transcatheter aortic valve implantation (TAVI) improve outcomes compared to surgical aortic valve replacement in patients with severe aortic stenosis?
This review highlights that TAVI is a safe and effective alternative to surgical aortic valve replacement across all surgical risk categories for patients with severe aortic stenosis.
Смирнова et al. (2021) conducted a review in Calcific aortic valve stenosis. Transcatheter aortic valve implantation (TAVI) vs. Surgical aortic valve replacement (SAVR) was evaluated. Transcatheter aortic valve implantation (TAVI) possesses significant advantages over surgical replacement and is a method of choice for elderly patients irrespective of surgical risk level.