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Surgical risk, age, perceived life expectancy, and valve durability influence the choice between surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation. The contemporaneous life expectancy after SAVR, in relation to surgical risk and age, is unknown.
About a month after your TAVR procedure, you’ll need a follow-up visit to check on your recovery and see how well your replacement valve is working.
After adjusting for baseline characteristics and patient factors (the so-called “surgical risk” of the patient), the strongest independent predictors of short-term mortality and impaired quality-of-life following the procedure continued to be major stroke, major bleeding events, and stage 3 AKI.
This study reflects a real-world experience of a large, tertiary center on long-term survival after TAVR and showed an all-cause mortality rate of 45.8% beyond 5 years. A balloon-expandable valve design was implanted in almost 2/3 of the patients, but no survival advantage has been attributed.
Reintervention after TAVR usually occurred after 2 years and was due to progressive aortic-valve stenosis or regurgitation.
You may spend the night in a hospital's intensive care unit (ICU) so you can be carefully watched after your procedure. How long you stay in the hospital after TAVR depends on many things. Some people who have TAVR might go home the next day.
The durability of TAVR valves must be 70% shorter than that of surgical biological prostheses to have an impact on overall life expectancy in low-risk older patients with characteristics similar to those of patients in clinical trial undergoing TAVR.
RS after TAVI was high, and survival rates in those aged >85 years approximated those of a matched general population within 3 years. High rates of RS indicate that patients selected for TAVI tolerate the risks of the procedure well. Clinical Perspective. What Is New? •.
Now, a review of more than 11,000 people who underwent TAVR provides more information about how people fare during the year or two after the procedure. Over all, the participants' symptoms (such as shortness of breath and fatigue) improved, as did their ability to do everyday tasks.
Therefore, this cohort aimed to evaluate in a real-world experience the long-term survival beyond 5 years after TAVR and subsequently com-pare the survival analysis in patients with self-expanding ver-sus balloon-expandable transcatheter heart valves. Methods.