Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI)
Why the study?
Is transcatheter aortic valve implantation feasible and effective in patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery?
Population
Patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery
Comparison
Transcatheter aortic valve implantation vs Conventional surgery
Design
Guideline
Follow-up
up to 2 years
Authors
Discussion
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Member takes
Implication
Supports TAVI in high-risk symptomatic severe AS; extends evidence to 2-year outcomes but leaves long-term durability open.
Structured PICO
Is transcatheter aortic valve implantation feasible and effective in patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery?
P
Population
Patients with severe symptomatic aortic stenosis at high risk or with contraindications for surgery
I
Intervention
Transcatheter aortic valve implantation
C
Comparator
Conventional surgery
O
Outcome
Haemodynamic and clinical improvement, safety, and long-term durability
Transcatheter aortic valve implantation is a promising alternative to conventional surgery for high-risk patients with severe symptomatic aortic stenosis, though careful evaluation of safety and long-term durability is required.
Limitations
- Questions remain mainly concerning safety and long-term durability.
- Careful evaluation is needed to avoid the risk of uncontrolled diffusion.
- Questions remain concerning safety and long-term durability
- Risk of uncontrolled diffusion without careful evaluation
Cite This Study
Vahanian et al. (2008) conducted a review in Severe symptomatic aortic stenosis. Transcatheter aortic valve implantation vs. Conventional surgery was evaluated on Haemodynamic and clinical improvement. Transcatheter aortic valve implantation is a feasible technique that provides haemodynamic and clinical improvement for up to 2 years in high-risk patients with severe symptomatic aortic stenosis.