Transcatheter Aortic Valve Replacement versus Surgical Aortic Valve Replacement: A Review of Aortic Stenosis Management

被引:5
作者
Sattar, Yasar [1 ]
Rauf, Hiba [2 ]
Bareeqa, Syeda Beenish [3 ]
Ullah, Waqas [4 ]
Myla, Madhura [5 ]
机构
[1] Icahn Sch Med Mt Sinai, Internal Med, New York, NY 10029 USA
[2] Dow Med Coll, Internal Med, Karachi, Pakistan
[3] Jinnah Med & Dent Coll, Internal Med, Karachi, Pakistan
[4] Abington Hosp Jefferson Hlth, Internal Med, Abington, PA USA
[5] Univ New Mexico, Hlth Sci Ctr, Cardiovasc Dis, Albuquerque, NM 87131 USA
关键词
severe aortic stenosis; transcatheter aortic valve implantation; transcatheter aortic valve replacement (tavr); surgical aortic valve replacement; TASK-FORCE; IMPLANTATION; TAVI; METAANALYSIS; FEASIBILITY; PREVALENCE; GUIDELINES; OUTCOMES; DISEASE;
D O I
10.7759/cureus.6431
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe aortic stenosis (AS) affects 3.4% of the elderly over 60 years of age. It presents with exertional dyspnea, syncope, angina, and progression to irreversible congestive heart failure. Early intervention produces a better outcome in preventing the clinical deterioration of AS. The choice of intervention is transcatheter aortic valve implantation or surgical aortic valve replacement (SAVR). The decision should be made after evaluating an individual case based on its clinical features and the user's experience with transcatheter aortic valve replacement (TAVR). We reviewed available data to illustrate the types of ASs, the background of interventions, current guidelines for TAVR, and its comparison with SAVR in terms of adverse effects.
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页数:9
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