TAVR in bicuspid aortic valve stenosis: "We are not there yet" to draw final conclusions
- PMID: 29634859
- DOI: 10.1002/ccd.27606
TAVR in bicuspid aortic valve stenosis: "We are not there yet" to draw final conclusions
Abstract
TAVR for bicuspid AS is not associated with excess mortality, but paravalvular leak and pacemaker implant is increased compared to tricuspid AS cohorts undergoing TAVR. Operators should weigh these potential complications against the clinical benefit obtained with TAVR for bicuspid AS patients at high surgical risk. A randomized controlled trial comparing TAVR with SAVR in younger, low-surgical risk patients with-or at least not excluding-bicuspid AS is strongly needed.
© 2018 Wiley Periodicals, Inc.
Comment on
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Transcatheter aortic valve replacement for stenotic bicuspid aortic valves: Systematic review and meta analyses of observational studies.Catheter Cardiovasc Interv. 2018 Apr 1;91(5):975-983. doi: 10.1002/ccd.27340. Epub 2017 Sep 30. Catheter Cardiovasc Interv. 2018. PMID: 28963771
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