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Transcatheter Aortic-Valve Replacement for Inoperable Severe Aortic Stenosis
Ist Teil von
The New England journal of medicine, 2012-05, Vol.366 (18), p.1696-1704
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2012
Quelle
MEDLINE
Beschreibungen/Notizen
This article provides 2-year data on patients with inoperable aortic stenosis randomly assigned to receive standard therapy or transcatheter aortic-valve replacement (TAVR). Death rates at 2 years were higher with standard therapy, but the rate of stroke was higher with TAVR.
Symptomatic aortic stenosis, if left untreated, is characterized by a high risk of death.
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In the randomized Placement of Aortic Transcatheter Valves (PARTNER) trial, transcatheter aortic-valve replacement (TAVR), as compared with standard therapy, in patients who were not considered to be suitable candidates for surgery, decreased the rate of death at 1 year, reduced cardiac symptoms, and improved the hemodynamic performance of the valve.
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Longer-term outcomes are essential to guide clinical practice decisions in this elderly patient population, in which many of the patients have multiple coexisting conditions. Moreover, there is a paucity of long-term data on the performance . . .