Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature
Transcatheter aortic valve replacement (TAVR) has undergone rapid expansion, emerging as a viable therapeutic option for low-risk patients in lieu of surgical aortic valve replacement. This paper aims to provide a review of the scientific evidence concerning TAVR in low-risk patients, encompassing b...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2024-09-01
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| Series: | Cardiac Failure Review |
| Online Access: | https://www.cfrjournal.com/articleindex/cfr.2023.23 |
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| _version_ | 1850256841290809344 |
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| author | Ahmad Jabri Anas Alameh Gennaro Giustino Pedro Engel Gonzalez Brian O’Neill Rodrigo Bagur Pedro Cox Tiberio Frisoli James Lee Dee Dee Wang William W O’Neill Pedro Villablanca |
| author_facet | Ahmad Jabri Anas Alameh Gennaro Giustino Pedro Engel Gonzalez Brian O’Neill Rodrigo Bagur Pedro Cox Tiberio Frisoli James Lee Dee Dee Wang William W O’Neill Pedro Villablanca |
| author_sort | Ahmad Jabri |
| collection | DOAJ |
| description | Transcatheter aortic valve replacement (TAVR) has undergone rapid expansion, emerging as a viable therapeutic option for low-risk patients in lieu of surgical aortic valve replacement. This paper aims to provide a review of the scientific evidence concerning TAVR in low-risk patients, encompassing both observational and clinical trial data. Furthermore, a substantial proportion of low-risk patients possesses a bicuspid aortic valve, necessitating careful examination of the pertinent anatomic and clinical considerations to TAVR that is highlighted in this review. Additionally, the review expands upon some of the unique challenges associated with alternate access in low-risk patients evaluated for TAVR. Last, this review outlines the pivotal role of a multidisciplinary heart team approach in the execution of all TAVR procedures and the authors’ vision of ‘minimalist TAVR’ as a new era in low-risk TAVR. |
| format | Article |
| id | doaj-art-2a1071b1e6bc4292bc25dad2f17cab55 |
| institution | OA Journals |
| issn | 2057-7540 2057-7559 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Cardiac Failure Review |
| spelling | doaj-art-2a1071b1e6bc4292bc25dad2f17cab552025-08-20T01:56:34ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592024-09-011010.15420/cfr.2023.23Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the LiteratureAhmad Jabri0Anas Alameh1Gennaro Giustino2Pedro Engel Gonzalez3Brian O’Neill4Rodrigo Bagur5Pedro Cox6Tiberio Frisoli7James Lee8Dee Dee Wang9William W O’Neill10Pedro Villablanca11Division of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Department of Medicine, London Health Sciences Centre, Western University, London, Ontario, Canada, Department of Epidemiology and Biostatistics, Western University, London, Ontario, CanadaDivision of Cardiology, Department of Medicine, London Health Sciences Centre, Western University, London, Ontario, Canada, Department of Epidemiology and Biostatistics, Western University, London, Ontario, CanadaDivision of Cardiology, Department of Medicine, Louisiana State University, New Orleans, LA, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USDivision of Cardiology, Structural Heart Disease Center, Henry Ford Hospital, Detroit, MI, USTranscatheter aortic valve replacement (TAVR) has undergone rapid expansion, emerging as a viable therapeutic option for low-risk patients in lieu of surgical aortic valve replacement. This paper aims to provide a review of the scientific evidence concerning TAVR in low-risk patients, encompassing both observational and clinical trial data. Furthermore, a substantial proportion of low-risk patients possesses a bicuspid aortic valve, necessitating careful examination of the pertinent anatomic and clinical considerations to TAVR that is highlighted in this review. Additionally, the review expands upon some of the unique challenges associated with alternate access in low-risk patients evaluated for TAVR. Last, this review outlines the pivotal role of a multidisciplinary heart team approach in the execution of all TAVR procedures and the authors’ vision of ‘minimalist TAVR’ as a new era in low-risk TAVR.https://www.cfrjournal.com/articleindex/cfr.2023.23 |
| spellingShingle | Ahmad Jabri Anas Alameh Gennaro Giustino Pedro Engel Gonzalez Brian O’Neill Rodrigo Bagur Pedro Cox Tiberio Frisoli James Lee Dee Dee Wang William W O’Neill Pedro Villablanca Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature Cardiac Failure Review |
| title | Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature |
| title_full | Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature |
| title_fullStr | Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature |
| title_full_unstemmed | Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature |
| title_short | Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature |
| title_sort | transcatheter aortic valve replacement is ready for most low risk patients a systematic review of the literature |
| url | https://www.cfrjournal.com/articleindex/cfr.2023.23 |
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