National Trends in TAVR and SAVR for Patients With Severe Isolated Aortic Stenosis
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“By 2021, TAVI was almost the default strategy in those older than 80. And in the youngest patients, it was almost a coin flip which intervention they'd receive.”
“For surgeons who might be concerned that we were offering too many young patients TAVR, this is another reassuring way to show that the heart team is working, that clinical judgment is being utilized, and the surgeon's voice and surgeon skills are still critical to the management of this population.”
“20% of the patients were dialysis dependent and almost three out of four had congestive heart failure. That, importantly, is not outside the guidelines. It's within the guidelines, because the guidelines emphasize that age is just a proxy for longevity.”
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Sharma et al. (2022) studied this question.