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Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature. | LitMetric

AI Article Synopsis

  • - Transcatheter aortic valve replacement (TAVR) is becoming a popular option for low-risk patients, serving as an alternative to traditional surgical valve replacement.
  • - The paper reviews scientific evidence, including observational and clinical trial data, focusing on low-risk patients who often have specific conditions like a bicuspid aortic valve.
  • - It emphasizes the importance of a multidisciplinary heart team and introduces the concept of 'minimalist TAVR' as a new approach in treating low-risk patients.

Article Abstract

Transcatheter aortic valve replacement (TAVR) has undergone rapid expansion, emerging as a viable therapeutic option for low-risk patients in lieu of surgical aortic valve replacement. This paper aims to provide a review of the scientific evidence concerning TAVR in low-risk patients, encompassing both observational and clinical trial data. Furthermore, a substantial proportion of low-risk patients possesses a bicuspid aortic valve, necessitating careful examination of the pertinent anatomic and clinical considerations to TAVR that is highlighted in this review. Additionally, the review expands upon some of the unique challenges associated with alternate access in low-risk patients evaluated for TAVR. Last, this review outlines the pivotal role of a multidisciplinary heart team approach in the execution of all TAVR procedures and the authors' vision of 'minimalist TAVR' as a new era in low-risk TAVR.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462515PMC
http://dx.doi.org/10.15420/cfr.2023.23DOI Listing

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