Transcatheter aortic valve implantation results are not superimposable to surgery in patients with aortic stenosis at low surgical risk.

Maria Cristina Acconcia,Marco Alfonso Perrone,Domenico Sergi,Marco Di Luozzo,Massimo Marchei,Pasquale De Vico,Antonio Sili Scavalli,Giuseppe Pannarale,Marcello Chiocchi,Carlo Gaudio,Francesco Romeo,Quintilio Caretta,Francesco Barillà

Cardiology journal（2021）

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Abstract

TAVI and SVAR in the treatment of AS in the patients at low surgical risk are not superimposable. In particular, if 30-day and 1-year mortality, major bleeding and acute kidney injury were significantly lower for TAVI, the need of new PM implantation and paravalvular leak were significantly lower in SAVR. Consequently, we suggest the need of more trials to evaluate the effectiveness of TAVI as routine therapeutic procedure in the treatment of patients with low surgical risk AS.

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Key words

aortic stenosis,low surgical risk,meta-analysis,prosthetic aortic valves,transcatheter aortic valve implantation,transcatheter aortic valve interventions

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