Key result
Transfemoral TAVI is suggested to be superior to surgical aortic valve replacement for all-cause mortality and stroke among intermediate- and high-risk patients with severe symptomatic AS.
Why the study?
Does TAVI improve all-cause mortality and stroke compared to SAVR in patients with severe symptomatic AS?
Does TAVI improve all-cause mortality and stroke compared to SAVR in patients with severe symptomatic AS?
The author anticipates that by 2020, TAVI will become the first-line therapy for the majority of patients with severe symptomatic aortic stenosis, regardless of surgical risk.
Transcatheter aortic valve implantation (TAVI) has evolved into a safe and effective procedure to treat symptomatic patients with severe aortic stenosis (AS), with predictable and reproducible results. Rates of important complications such as vascular complications, strokes and paravalvular leaks are lower than ever, because of improved patient selection, systematic use of multidector computer tomography, increasing operator experience and device iteration. Accumulating data suggest that transfemoral TAVI with newer generation transcatheter heart valves and delivery systems is superior to conventional surgical aortic valve replacement among intermediate- and high-risk patients with severe symptomatic AS with regard to all-cause mortality and stroke. One can anticipate that by 2020, the majority of patients with severe symptomatic AS will undergo TAVI as first line therapy, regardless of surgical risk.
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O’Sullivan et al. (2017) conducted an editorial in Severe symptomatic aortic stenosis. Transcatheter aortic valve implantation (TAVI) vs. Surgical aortic valve replacement (SAVR) was evaluated on All-cause mortality and stroke. Transfemoral TAVI is suggested to be superior to surgical aortic valve replacement for all-cause mortality and stroke among intermediate- and high-risk patients with severe symptomatic AS.
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