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Almost 50% of Patients Under 60 Years Choose TAVR Over Surgical Aortic Valve Replacement with Worse Outcomes

DAIC

Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aortic valve replacement (SAVR) for patients under age 65 with severe aortic stenosis , many hospitals are still opting for a nonsurgical approach in patients under 60—possibly with poorer survival rates.

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Towards a gender-specific and morphology-specific assessment of aortic valve stenosis severity

Heart BMJ

Over the last two decades, the differentiation of severe from non-severe aortic valve stenosis with echocardiography has become more complex. Low flow can result in low gradient and, thereby, mask severe aortic stenosis. The consideration of flow is now frequently essential to evaluate haemodynamic stenosis severity.

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Impact of serum haemoglobin-to-creatinine ratio after transcatheter aortic valve implantation

Open Heart

Objective The association between a combined anaemia and renal failure index and 1-year prognosis of patients undergoing transcatheter aortic valve implantation (TAVI) is unexplored. Methods A total of 469 consecutive patients undergoing TAVI between 2015 and 2021 were enrolled.

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Coronary microvascular dysfunction in patients undergoing transcatheter aortic valve implantation

Heart BMJ

Objectives This study aimed to evaluate the prognostic value of coronary microvascular dysfunction (CMD) at long term after transcatheter aortic valve implantation (TAVI) and to explore its relationship with extravalvular cardiac damage (EVCD). CMD was defined as IMR angio ≥30 units.

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Impact of Acute Kidney Injury After Transcatheter Aortic Valve Replacement: A Nationwide Study

Journal of the American Heart Association

BackgroundIn patients undergoing transcatheter aortic valve replacement (TAVR), the impact of acute kidney injury (AKI) on the prognosis and especially on future kidney function has been sparsely examined, and data from large cohorts are warranted.Methods and ResultsWith Danish nationwide registries, we identified all patients undergoing TAVR from (..)

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SAVR’s Value in the TAVR Era

CardiacWire

Procedure trends certainly suggest that we’ve entered the TAVR era, but a pair of new studies show that surgical aortic valve replacement (SAVR) is a far better option for many younger and healthier patients who are increasingly seen as TAVR candidates.

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Association between perioperative statin treatment and short-term clinical outcomes following transcatheter aortic valve implantation: a retrospective cohort study

Open Heart

Background Studies have found statin treatment to be associated with improved 1-year survival after transcatheter aortic valve implantation (TAVI), suggesting pleiotropic effects of statins on preventing perioperative complications.