TAVR: A Review of Current Practices and Considerations in Low-Risk Patients

Transcatheter aortic valve replacement (TAVR) is an established treatment for severe, symptomatic, aortic stenosis (AS) in patients of all risk categories and now comprises 12.5% of all aortic valve replacements. TAVR is a less invasive alternative to traditional surgical aortic valve replacement (S...

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Main Authors: Jenna Spears, Yousif Al-Saiegh, David Goldberg, Sina Manthey, Sheldon Goldberg
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Interventional Cardiology
Online Access:http://dx.doi.org/10.1155/2020/2582938
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author Jenna Spears
Yousif Al-Saiegh
David Goldberg
Sina Manthey
Sheldon Goldberg
author_facet Jenna Spears
Yousif Al-Saiegh
David Goldberg
Sina Manthey
Sheldon Goldberg
author_sort Jenna Spears
collection DOAJ
description Transcatheter aortic valve replacement (TAVR) is an established treatment for severe, symptomatic, aortic stenosis (AS) in patients of all risk categories and now comprises 12.5% of all aortic valve replacements. TAVR is a less invasive alternative to traditional surgical aortic valve replacement (SAVR), with equivalent or superior outcomes. The use of TAVR has increased rapidly. The success and increase in use of TAVR are a result of advances in technology, greater operator experience, and improved outcomes. Indications have recently expanded to include patients considered to be at low risk for SAVR. While TAVR outcomes have improved, remaining challenges include the management of coexistent coronary artery disease, prevention of periprocedural stroke, and issue of durability. These issues are even more relevant for low-risk, younger patients.
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publishDate 2020-01-01
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series Journal of Interventional Cardiology
spelling doaj-art-bad787ec66424fb2bc2415aa1b7e78872025-08-20T02:19:21ZengWileyJournal of Interventional Cardiology0896-43271540-81832020-01-01202010.1155/2020/25829382582938TAVR: A Review of Current Practices and Considerations in Low-Risk PatientsJenna Spears0Yousif Al-Saiegh1David Goldberg2Sina Manthey3Sheldon Goldberg4Department of Medicine, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia, PA, USADepartment of Medicine, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia, PA, USADepartment of Cardiology, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia, PA, USADepartment of Medicine, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia, PA, USADepartment of Cardiology, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia, PA, USATranscatheter aortic valve replacement (TAVR) is an established treatment for severe, symptomatic, aortic stenosis (AS) in patients of all risk categories and now comprises 12.5% of all aortic valve replacements. TAVR is a less invasive alternative to traditional surgical aortic valve replacement (SAVR), with equivalent or superior outcomes. The use of TAVR has increased rapidly. The success and increase in use of TAVR are a result of advances in technology, greater operator experience, and improved outcomes. Indications have recently expanded to include patients considered to be at low risk for SAVR. While TAVR outcomes have improved, remaining challenges include the management of coexistent coronary artery disease, prevention of periprocedural stroke, and issue of durability. These issues are even more relevant for low-risk, younger patients.http://dx.doi.org/10.1155/2020/2582938
spellingShingle Jenna Spears
Yousif Al-Saiegh
David Goldberg
Sina Manthey
Sheldon Goldberg
TAVR: A Review of Current Practices and Considerations in Low-Risk Patients
Journal of Interventional Cardiology
title TAVR: A Review of Current Practices and Considerations in Low-Risk Patients
title_full TAVR: A Review of Current Practices and Considerations in Low-Risk Patients
title_fullStr TAVR: A Review of Current Practices and Considerations in Low-Risk Patients
title_full_unstemmed TAVR: A Review of Current Practices and Considerations in Low-Risk Patients
title_short TAVR: A Review of Current Practices and Considerations in Low-Risk Patients
title_sort tavr a review of current practices and considerations in low risk patients
url http://dx.doi.org/10.1155/2020/2582938
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