This article describes transcatheter aortic valve implantation (TAVI) vs surgical aortic valve implantation (SAVR), framed around age and lifetime treatment strategy. It argues that the choice between these procedures should be individualized rather than decided by age alone. The piece also draws on trial evidence showing broadly similar primary outcomes, while some results favor SAVR for death and disabling stroke.
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Transcatheter vs Surgical Aortic Valve Implantation: Age vs Lifetime Perspective
Submitted by: Joel Dunning
Source: European Heart Journal
Keywords:
Author(s): Victor Dayan, Sanjay Kaul, Benoy Nalin Shah
2 Comments
This article was restricted but Endorsed among others by the Asian Society of Cardiovascular and Thoracic Surgery. Can you explain what does it mean?
Yes this is restricted access by the European heart journal to people with a subscription but it is one of a growing number of articles that says if you have more than 7-10 year life expectancy and might need 2 interventions then choose SAVR first. Much better to have SAVR then TAVR than TAVR and another TAVR. The multiple reasons are mostly given in the visual abstract in the link. Thanks for the question.