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Background and aims Randomised controlled trials comparing transcatheter aorticvalve replacement (TAVR) and surgical aorticvalve replacement (SAVR) were performed in highly selected populations and data regarding long-term secondary complications beyond mortality are scarce.
Prior transapical transcatheter aorticvalve replacement (TA-TAVR) may complicate the procedure and is therefore considered a relative contraindication. He had already undergone cardiac surgery in the form of coronary artery bypass grafting at the age of 64 and TA-TAVR at 79 years.
ET Murphy Ballroom 4 ACC.24 24 planners note that attendees can gain insights from key clinical trials presented at ACC.24 24 and how those may impact clinical practice and patient care in this deep dive clinical trial session.
SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aorticvalve replacement (TAVR). A total of 716 patients underwent TAVR with either a self-expanding supraannular valve or a balloon-expandable valve.
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