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Clinical Medicine Insights: Cardiology

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TAVR and SAVR: Current Treatment of Aortic Stenosis

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Publication Date: 23 Aug 2012

Type: Review

Journal: Clinical Medicine Insights: Cardiology

Citation: Clinical Medicine Insights: Cardiology 2012:6 125-139

doi: 10.4137/CMC.S7540

Abstract

Transcatheter aortic valve replacement (TAVR) was approved in the United States in late 2011, providing a critically needed alternative therapy for patients with severe aortic stenosis previously refused surgical aortic valve replacement (SAVR). Over 20,000 TAVR have been performed in patients worldwide since 2002 when Alain Cribier performed the first-in-man TAVR. This paper reviews the data from balloon expandable and self-expanding aortic stent valves as well as data comparing them with traditional surgical aortic valve replacement (SAVR). Complications using criteria established by the Valve Academic Research Consortium (VARC) are reviewed. Future challenges and possibilities are discussed and will make optimizing TAVR an important goal in the years to come.


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