Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR
Aortic stenosis (AS) is the most common valve disease in developed countries, with severe cases traditionally managed through surgical aortic valve replacement (SAVR). More recently, transcatheter aortic valve replacement (TAVR) has been used as a less invasive alternative, especially for patients d...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-12-01
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| Series: | Surgeries |
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| Online Access: | https://www.mdpi.com/2673-4095/6/1/4 |
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| author | Albert Dweck Brandon E. Ferrell Daniel Guttman Stephen M. Spindel Tadahisa Sugiura |
| author_facet | Albert Dweck Brandon E. Ferrell Daniel Guttman Stephen M. Spindel Tadahisa Sugiura |
| author_sort | Albert Dweck |
| collection | DOAJ |
| description | Aortic stenosis (AS) is the most common valve disease in developed countries, with severe cases traditionally managed through surgical aortic valve replacement (SAVR). More recently, transcatheter aortic valve replacement (TAVR) has been used as a less invasive alternative, especially for patients deemed high-risk for surgery. This review aims to compare SAVR and TAVR by examining the efficacy, patient selection criteria, complications, and evolving guidelines. SAVR is the preferred option for patients at low surgical risk or with anatomical challenges unsuitable for TAVR. It offers well-documented durability and favorable long-term survival. Conversely, TAVR has gained acceptance for intermediate- and high-risk patients, with shorter recovery times and reduced immediate postoperative risks. However, questions surrounding its long-term durability in younger populations persist. Complications differ between the approaches, with TAVR associated with vascular access injuries and arrhythmic events, while SAVR presents risks tied to open surgery. As clinical guidelines evolve, patient age, comorbidities, and life expectancy play critical roles in determining the optimal intervention. This review highlights the need for tailored treatment approaches, given the expanding indications and evolving evidence for both SAVR and TAVR in AS management. |
| format | Article |
| id | doaj-art-73699a75ff1640b782b7d372d3e7f542 |
| institution | OA Journals |
| issn | 2673-4095 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj-art-73699a75ff1640b782b7d372d3e7f5422025-08-20T01:48:58ZengMDPI AGSurgeries2673-40952024-12-0161410.3390/surgeries6010004Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVRAlbert Dweck0Brandon E. Ferrell1Daniel Guttman2Stephen M. Spindel3Tadahisa Sugiura4Albert Einstein College of Medicine, Bronx, NY 10461, USADepartment of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY 10467, USAAlbert Einstein College of Medicine, Bronx, NY 10461, USADepartment of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY 10467, USADepartment of Cardiothoracic and Vascular Surgery, Montefiore Medical Center, Bronx, NY 10467, USAAortic stenosis (AS) is the most common valve disease in developed countries, with severe cases traditionally managed through surgical aortic valve replacement (SAVR). More recently, transcatheter aortic valve replacement (TAVR) has been used as a less invasive alternative, especially for patients deemed high-risk for surgery. This review aims to compare SAVR and TAVR by examining the efficacy, patient selection criteria, complications, and evolving guidelines. SAVR is the preferred option for patients at low surgical risk or with anatomical challenges unsuitable for TAVR. It offers well-documented durability and favorable long-term survival. Conversely, TAVR has gained acceptance for intermediate- and high-risk patients, with shorter recovery times and reduced immediate postoperative risks. However, questions surrounding its long-term durability in younger populations persist. Complications differ between the approaches, with TAVR associated with vascular access injuries and arrhythmic events, while SAVR presents risks tied to open surgery. As clinical guidelines evolve, patient age, comorbidities, and life expectancy play critical roles in determining the optimal intervention. This review highlights the need for tailored treatment approaches, given the expanding indications and evolving evidence for both SAVR and TAVR in AS management.https://www.mdpi.com/2673-4095/6/1/4aortic valvesurgical aortic valve replacementtranscatheter aortic valve replacementtranscatheteraortic valve replacementaortic stenosis |
| spellingShingle | Albert Dweck Brandon E. Ferrell Daniel Guttman Stephen M. Spindel Tadahisa Sugiura Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR Surgeries aortic valve surgical aortic valve replacement transcatheter aortic valve replacement transcatheter aortic valve replacement aortic stenosis |
| title | Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR |
| title_full | Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR |
| title_fullStr | Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR |
| title_full_unstemmed | Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR |
| title_short | Treatment of the Aortic Valve in the Modern Era—A Review of TAVR vs. SAVR |
| title_sort | treatment of the aortic valve in the modern era a review of tavr vs savr |
| topic | aortic valve surgical aortic valve replacement transcatheter aortic valve replacement transcatheter aortic valve replacement aortic stenosis |
| url | https://www.mdpi.com/2673-4095/6/1/4 |
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