1. TAVR - From inoperable to younger, lower-risk patients: A slippery slope?
- Author
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Unbehaun A, Abdullah M, Hooda A, Gedela M, Kempfert J, Klein C, and Tang GHL
- Subjects
- Aortic Valve diagnostic imaging, Aortic Valve surgery, Humans, Quality of Life, Risk Factors, Treatment Outcome, Aortic Valve Stenosis diagnostic imaging, Aortic Valve Stenosis surgery, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation, Transcatheter Aortic Valve Replacement adverse effects
- Abstract
Despite current valve guidelines recommending both transcatheter and surgical aortic valve replacement (TAVR and SAVR, respectively) in patients with symptomatic severe aortic stenosis (AS), TAVR has recently become the preferred treatment over SAVR, driven by its minimal invasiveness, faster recovery and earlier improvement in quality of life. However, several limitations and unresolved issues remain with TAVR, including stroke, conduction system disorder, durability, bicuspid anatomy, coronary reaccess and lifetime management with aortic valve reintervention. Our review aims to highlight the above issues and discuss them in depth, to demonstrate the complementary role of TAVR and SAVR in the treatment of AS., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2022
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