Key result
Tailoring TAVI valve selection to patient anatomy and clinical profile optimizes outcomes in severe AS.
Why the study?
There is no clear evidence that one TAVI device is superior or suitable for all patients, making optimal valve selection challenging among numerous available options.
Personalizing TAVI device selection based on specific anatomical and clinical features is crucial for optimizing procedural and long-term outcomes in patients with severe aortic stenosis.
Supports tailoring TAVI devices to patient factors in severe aortic stenosis; leaves open prospective validation of selection algorithms.
Transcatheter aortic valve replacement (TAVI) has become a game changer in the management of severe aortic stenosis shifting the concept from inoperable or high-risk patients to intermediate or low surgical-risk individuals. Among devices available nowadays, there is no clear evidence that one device is better than the other or that one device is suitable for all patients. The selection of the optimal TAVI valve for every patient represents a challenging process for clinicians, given a large number of currently available devices. Consequently, understanding the advantages and disadvantages of each valve and personalising the valve selection based on patient-specific clinical and anatomical characteristics is paramount. This review article aims to both analyse the available devices in the presence of specific clinical and anatomic features and offer guidance to select the most suitable valve for a given patient.
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Mitsis et al. (2022) conducted a review in Severe aortic stenosis. Transcatheter Aortic Valve Implantation (TAVI) was evaluated. Personalizing transcatheter aortic valve selection based on patient-specific clinical and anatomical characteristics is essential to optimize outcomes in severe aortic stenosis.
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