Key result
Direct TAVI without pre-implantation balloon aortic valvuloplasty is discussed as a feasible and safe alternative to standard TAVI, though high-quality robust evidence is currently lacking.
Why the study?
Does direct TAVI (without predilatation) provide similar safety and outcomes compared to standard TAVI with predilatation in patients undergoing TAVI?
Population
Patients undergoing transcatheter aortic valve implantation (TAVI)
Comparison
Direct TAVI vs Standard TAVI with pre-implantation balloon…
Design
Review
Authors
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May simplify TAVI procedures; leaves open whether direct approach matches standard safety without RCTs.
Does direct TAVI (without predilatation) provide similar safety and outcomes compared to standard TAVI with predilatation in patients undergoing TAVI?
Direct TAVI without predilatation appears feasible and safe, offering a simplified procedure, though high-quality randomized evidence is currently lacking.
Pagnesi et al. (2017) conducted a review in Aortic stenosis undergoing TAVI. Direct TAVI (without predilatation) vs. Standard TAVI with predilatation was evaluated. Direct TAVI without pre-implantation balloon aortic valvuloplasty is discussed as a feasible and safe alternative to standard TAVI, though high-quality robust evidence is currently lacking.
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