Transcatheter aortic valve implantation is increasingly utilized for severe symptomatic aortic stenosis, with recent advances reducing complications and expanding indications to lower-risk patients.
TAVI is increasingly utilized for severe aortic stenosis across risk profiles, with ongoing advances in technology improving outcomes and expanding indications.
Transcatheter aortic valve implantation (TAVI) has been increasingly utilized for the treatment of severe symptomatic aortic stenosis in inoperable and high surgical risk patients. Recent advances in valve technology include repositionable scaffolds and smaller delivery systems, as well as improvement in periprocedural imaging. These advances have resulted in reduction of vascular complications, rates of paravalvular aortic regurgitation and periprocedural stroke and improved overall outcomes. Increasingly, TAVI is the preferred treatment for high-risk surgical patients with severe aortic stenosis. Consequently, there is growing interest for the use of TAVI in lower surgical risk patients. Furthermore, the role of TAVI has expanded to include valve-in-valve procedures for the treatment of degenerative bioprosthetic valves and bicuspid aortic valves. Questions remain in regard to the optimal management of concurrent coronary artery disease, strategies to minimize valve leaflet restriction and treatment of conduction abnormalities as well as identifying newer indications for its use.
Allahwala et al. (Mon,) conducted a review in Severe symptomatic aortic stenosis. Transcatheter aortic valve implantation (TAVI) was evaluated. Transcatheter aortic valve implantation is increasingly utilized for severe symptomatic aortic stenosis, with recent advances reducing complications and expanding indications to lower-risk patients.
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