Key result
Balloon-expandable and self-expanding THVs both require a bespoke approach for optimal AS treatment.
Why the study?
Optimal device selection for patients with aortic stenosis undergoing TAVR requires an evidence-based summary to guide clinicians as indications expand to younger and lower-risk patients.
What are the considerations for device selection between balloon-expandable and self-expanding transcatheter heart valves for the treatment of aortic stenosis?
What are the considerations for device selection between balloon-expandable and self-expanding transcatheter heart valves for the treatment of aortic stenosis?
Optimal selection between balloon-expandable and self-expanding TAVR devices requires a personalized approach based on patient factors and lifetime management goals.
May inform TAVR device selection in expanding populations; leaves open need for randomized valve comparisons.
Purpose of Review This review provides a practical, evidence-based summary of optimal device selection for patients with aortic stenosis undergoing transcatheter aortic valve replacement in order to guide clinicians in providing the most current treatment options for their patients. Recent Findings The use of transcatheter heart valves has expanded to include younger patients and those with low or moderate surgical risk. There have been significant technological advances in both balloon-expandable and self-expanding valves to provide a minimally invasive approach toward valve replacement; however, device selection is based on numerous patient factors that have been better characterized in recent literature. Summary Heart centers involving multi-disciplinary care teams are equipped to provide patients with advanced diagnostic imaging and novel transcatheter options for aortic valve replacement. Both balloon-expandable and self-expanding valves play an integral role and optimal device selection is achieved through a nuanced, bespoke approach that prioritizes the lifetime management of each patient.
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Misra et al. (2026) conducted a review in Aortic stenosis. Balloon-expandable and self-expanding transcatheter heart valves was evaluated. Balloon-expandable and self-expanding transcatheter heart valves both play an integral role in treating aortic stenosis, requiring a bespoke approach for optimal device selection.
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