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Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis - PubMed

7 days ago
  • #TAVR
  • #cardiac surgery
  • #aortic stenosis
  • The Evolut Low Risk trial compared TAVR and surgery in low-risk patients with severe aortic stenosis over 6 years.
  • No significant difference was found in the composite endpoint of all-cause mortality or disabling stroke between TAVR (23.3%) and surgery (20.4%).
  • TAVR had a higher reintervention rate at 6 years (5.5%) compared to surgery (3.3%), with the gap widening at 7 years (9.8% vs. 6.0%).
  • The increased reintervention rate in TAVR was primarily due to higher incidence of aortic regurgitation (5.6% vs. 1.6%).
  • The study was funded by Medtronic, and several authors disclosed financial ties to Medtronic and other medical device companies.