Why the study?
With the advancement of TAVR as an alternative for high-risk patients and those with previous cardiac surgery, the authors sought to evaluate trends, early clinical outcomes, and prosthesis choice in isolated SAVR in the UK.
Population
79,173 patients undergoing elective or urgent isolated SAVR in the United Kingdom
Comparison
Trends over time, risk subgroups, and mechanical vs biological aortic valve prostheses in patients <65 years old
Design
National registry-based cohort study
Follow-up
In-hospital/30-day
Authors
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SAVR volumes rose with low UK mortality; leaves open TAVR's effect on future practice and prosthesis trends.
Isolated SAVR in the UK has shown a significant decrease in early mortality over two decades, alongside a marked increase in the use of biological prostheses across all age groups.
Chan et al. (2023) studied this question.
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