Despite lack of labeling or much safety data, use of DOACs following surgical heart valve replacement is not insignificant — and is growing. So finds a new national cohort study.
Through five years of follow-up, no cases of valve thrombosis or structural valve deterioration were observed with a bioprosthesis using the new Resilia tissue technology.
Three of our valve disease experts reflect on key changes and developments related to aortic valve disease in the new guideline update.
Among patients 55 or younger, TAVR use is growing but carries a higher risk of stroke than surgical aortic valve replacement, finds an STS database analysis. We explore evolving options for AVR in younger patients.
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At centers of excellence, contemporary outcomes of surgical aortic valve replacement have improved to the point that STS risk score is no longer a useful predictor, a Cleveland Clinic study concludes.
If this new prospective multicenter study meets its endpoints, aortic valve replacement with a mechanical valve will likely become more attractive to younger patients.
A new PARTNER 2 analysis suggests a lack of short-term impact of early anticoagulation on hemodynamics and most clinical outcomes regardless of whether replacement was percutaneous or surgical. But definitive guidance awaits randomized investigation.
Two trials comparing transcatheter (TAVR) with surgical aortic valve replacement in patients at low surgical risk found TAVR to yield equal or better outcomes. While a new indication seems certain, some key questions remain.
Heterogeneity is the rule with bicuspid aortic valves, so optimal surgical solutions vary by patient. Our experts share experience-based guidance for managing various presentations of BAV and aortopathy.
The most comprehensive literature review of structural valve deterioration to date just took on this question. Although data were abundant, useful comparisons were few. The authors explain.