Transcatheter Valve Replacement: Risk Levels and Contemporary Outcomes

Methodist Debakey Cardiovasc J. 2017 Jul-Sep;13(3):126-131. doi: 10.14797/mdcj-13-3-126.

Abstract

Transcatheter aortic valve replacement (TAVR) has exploded into medical care for aortic stenosis, thus changing the treatment options for patients. TAVR is currently approved for extreme-risk, high-risk, and intermediate-risk patients with symptomatic severe aortic stenosis, and randomized trials for low-risk patients are underway. This article traces the trajectory of TAVR as a viable option for higher-risk patients and examines current outcomes.

Keywords: SAVR; TAVR; expandable valve; surgical aortic valve replacement; transcatheter aortic valve replacement.

Publication types

  • Review

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / physiopathology
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / mortality
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Clinical Decision-Making
  • Heart Valve Prosthesis
  • Humans
  • Patient Selection
  • Prosthesis Failure
  • Recovery of Function
  • Risk Assessment
  • Risk Factors
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Transcatheter Aortic Valve Replacement* / instrumentation
  • Transcatheter Aortic Valve Replacement* / mortality
  • Treatment Outcome