Predicting the future of TAVR: an obituary to open aortic valve replacement?

被引：8

作者：

Shreenivas, Satya ^{[1
,2
]}

Kaneko, Tsuyoshi ^{[3
]}

Tang, Gilbert H. L. ^{[4
]}

机构：

[1] Christ Hosp, Heart & Vasc Ctr, Cincinnati, OH 45219 USA

[2] Christ Hosp, Lindner Res Ctr, Cincinnati, OH 45219 USA

[3] Brigham & Womens Hosp, Div Cardiac Surg, Boston, MA USA

[4] Mt Sinai Hlth Syst, Dept Cardiovasc Surg, New York, NY USA

来源：

CURRENT OPINION IN CARDIOLOGY | 2019年 / 34卷 / 02期

关键词：

aortic stenosis; surgical aortic valve replacement; trans-catheter aortic valve replacement; PERMANENT PACEMAKER IMPLANTATION; SELF-EXPANDING BIOPROSTHESIS; HIGH-RISK PATIENTS; CLINICAL-OUTCOMES; CORONARY OBSTRUCTION; EUROPEAN-SOCIETY; 1-YEAR OUTCOMES; TRANSCATHETER; STENOSIS; PROTECTION;

D O I：

10.1097/HCO.0000000000000609

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of review Transcatheter aortic valve replacement (TAVR) has become the cornerstone for aortic valve intervention since the first implantation in 2002. Recent advances with novel devices and introduction into lower risk cohorts have been successful. In this review, we discuss the ongoing limitations to transcatheter aortic valve therapy and whether it will replace surgical aortic valve replacement in the foreseeable future. Recent findings A better understanding of valve durability, high-grade heart block, and stroke post TAVR has led to practice changes that improve patient outcome. Summary Although there has been great progress made in treating severe aortic stenosis with TAVR, there are room for improvements before it becomes the default therapy for all patients.

引用

页码：112 / 123

页数：12

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