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May 19, 2019Annals of MedicineOpen Access

Ten-year experience with transcatheter and surgical aortic valve replacement in Finland

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Why the study?

The study investigated the 10-year outcomes of transcatheter and surgical aortic valve replacement in Finland.

How have the outcomes of TAVR and SAVR for severe aortic stenosis evolved over a 10-year period in Finland?

Population

6463 patients who underwent TAVR or SAVR with a bioprosthesis for aortic stenosis

Comparison

TAVR vs SAVR

Design

Nationwide registry study

Follow-up

2 years

Authors

TMTimo MäkikallioElectrophysiologyMJMaina P. JalavaUniversity of TurkuAHAnnastiina HussoKuopio University Hospital

Discussion

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Member takes

Implication

Temporal survival gains in severe AS support expanded treatment access; leaves open whether TAVR introduction drove improvements versus concurrent factors.

Structured PICO

How have the outcomes of TAVR and SAVR for severe aortic stenosis evolved over a 10-year period in Finland?

P
Population
6,463 patients who underwent TAVR or SAVR with a bioprosthesis for aortic stenosis from 2008 to 2017 in the nationwide FinnValve registry
I
Intervention
Transcatheter aortic valve replacement (TAVR)
C
Comparator
Surgical aortic valve replacement (SAVR)
O
Outcome
30-day mortality and 2-year survivalhard clinical

Over a 10-year period in Finland, the introduction of TAVR was associated with increased invasive treatment of severe aortic stenosis and significant improvements in early and 2-year survival for both TAVR and SAVR.

Cite This Study

Mäkikallio et al. (2019) studied this question.

synapsesocial.com/papers/6a8ce6a1bccdcede27ff16bchttps://doi.org/10.1080/07853890.2019.1614657

Topics

Transcatheter aortic valve replacementTAVR in low-risk patients
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Percutaneous Transcatheter Implantation of an Aortic Valve Prosthesis for Calcific Aortic Stenosis2002 · 3,197 citations
  2. 2Pros and cons of transcatheter aortic valve implantation (TAVI)2017 · 48 citations
  3. 3Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients2017 · 3,038 citations
  4. 4Short-term clinical outcomes among patients undergoing transcatheter aortic valve implantation in Switzerland: the Swiss TAVI registry2014 · 64 citations
  5. 5Long term outcomes of transcatheter aortic valve implantation (TAVI): a systematic review of 5-year survival and beyond2017 · 118 citations