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Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients
Ist Teil von
The New England journal of medicine, 2016-04, Vol.374 (17), p.1609-1620
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2016
Quelle
MEDLINE
Beschreibungen/Notizen
In a randomized trial involving more than 2000 patients, transcatheter aortic-valve replacement was noninferior to surgical replacement in the primary end point of death from any cause or disabling stroke at 2 years.
Transcatheter aortic-valve replacement (TAVR) is a new therapy for patients with severe aortic stenosis who are not candidates for surgery
1
,
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or who are at high risk for complications due to surgery.
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,
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The acceptance of the use of TAVR in high-risk patients was based on evidence from clinical trials
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,
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that used early-generation TAVR devices; these procedures were associated with considerable procedure-related complications.
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–
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Recently, increased operator experience and enhanced transcatheter valve systems have led to a worldwide trend to use TAVR in patients who are at low or intermediate risk.
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–
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This trend has been evaluated in small . . .