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The implications and requirements of transcatheter aortic valve replacement in low-risk patients
- Source :
- Anatolian Journal of Cardiology, Vol 23, Iss 1, Pp 2-9 (2019)
- Publication Year :
- 2019
- Publisher :
- KARE Publishing, 2019.
-
Abstract
- Transcatheter aortic valve replacement (TAVR) is a transformative technology that has changed the management of patients with severe, symptomatic aortic stenosis. The use of TAVR in intermediate- to high-risk patients has been validated in several rigorously performed, randomized clinical trials. Recent studies using newer generation devices have demonstrated the noninferiority of TAVR as compared with surgical aortic valve replacement in low-risk patients, supporting the increased utilization and expansion of TAVR. The use of TAVR in low-risk patients has important implications and requires a multifaceted approach that includes a highly functional multidisciplinary heart team for careful patient selection; a need to understand and help mitigate certain key complications, such as stroke, paravalvular regurgitation, and conduction disturbances; careful data collection for continual outcome assessment and improvement; and the necessary expertize and procedural volume to maintain excellent outcomes and ensure optimal clinical care pathways.
Details
- Language :
- English
- ISSN :
- 21492263 and 74676342
- Volume :
- 23
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Anatolian Journal of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.9e659701d9e24f02af925bab74676342
- Document Type :
- article
- Full Text :
- https://doi.org/10.14744/AnatolJCardiol.2019.39293