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In elderly patients the prostheses should outlive the patient. The 2021 review suggested that in younger patients (with longer average life expectancy) choosing TAVI might still be premature, due to the increased likelihood of the need for future re-operation with worse prognostic impact. [27]
Guidelines suggest TAVR for most patients aged 75 years and older, and surgical aortic valve replacement for most younger patients. [46] Ultimately, the choice of treatment is based on many factors. [47] [46] Systematic reviews have addressed this comparison: [48] [49]
Around 60% of patients will be angina-free 10 years after their operation. [33] Myocardial infarction is rare five years after a CABG, but its risk increases with time. [34] The risk of sudden death for CABG patients is low. [34] Quality of life is also high for at least five years, then can slowly start to decline. [35]
While Surgical AVR has remained the most effective treatment for this disease process and is currently recommended for patients after the onset of symptoms, as of 2016 aortic valve replacement approaches included open-heart surgery, minimally invasive cardiac surgery (MICS), and minimally invasive catheter-based (percutaneous) aortic valve ...
Guidelines and indications are specific to different patient populations. For adults with aortic stenosis, guidelines suggest that balloon aortic valvuloplasty (BAV) is to be used as a temporary procedure to improve blood flow through the aortic valve to alleviate symptoms and stabilize clinically before having more invasive procedures done, including aortic valve replacement (AVR) or ...
It demonstrated a very low risk of embolisation even in the absence of long term anticoagulation treatment of the patients. [2] There were no cases of valve thrombosis, intra-vascular haemolysis or sudden, unexpected valve failure. The durability of the valve was good at 5 years of follow-up. [2]
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