A tailored approach to transcatheter aortic valve replacement, selecting specific prostheses for individual anatomical and clinical situations, is proposed as the future of this therapy.
Transcatheter aortic valve replacement determined a paradigm shift in the treatment of high-risk patients with severe symptomatic aortic valve stenosis. Notwithstanding the impressive results of the first-generation prostheses, a fast-paced technological evolution is taking place to overcome their limitations, in particular the vascular access damage and the paravalvular leak. Nowadays, with the availability of several different devices, the expert operator can select the right prosthesis for the specific anatomical and clinical situation. As 'One does not fit all', the 'Tailored TAVR Approach' we describe will conceivably become the future of this therapy.
Bedogni et al. (Thu,) conducted a review in Severe symptomatic aortic valve stenosis. Transcatheter aortic valve replacement (TAVR) was evaluated. A tailored approach to transcatheter aortic valve replacement, selecting specific prostheses for individual anatomical and clinical situations, is proposed as the future of this therapy.