Class effect in TAVI: the time has come to know if they are all the same

The time has come. Over the past few years, we have been living a constant increase in the number of patients with aortic stenosis who are treated with transcatheter aortic valve implantation (TAVI). Although the latest indications of the clinical practice guidelines from the European Society of Car...

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Main Author: Cristóbal A. Urbano-Carrillo
Format: Article
Language:English
Published: Permanyer 2023-05-01
Series:REC: Interventional Cardiology (English Ed.)
Online Access:https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=1040
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author Cristóbal A. Urbano-Carrillo
author_facet Cristóbal A. Urbano-Carrillo
author_sort Cristóbal A. Urbano-Carrillo
collection DOAJ
description The time has come. Over the past few years, we have been living a constant increase in the number of patients with aortic stenosis who are treated with transcatheter aortic valve implantation (TAVI). Although the latest indications of the clinical practice guidelines from the European Society of Cardiology1 are somehow more restrictive than those of the American College of Cardiology2 regarding age cut-offs and surgical risk we’ve seen a growing demand for TAVI in low-risk patients and, progressively, in younger patients in almost all anatomical settings. Up until now, randomized clinical trials had mostly focused on comparing the TAVI technique to conventional aortic valve replacement surgery.3,4 And although these studies with different models of transcatheter aortic valves laid the foundation for the indications published by the guidelines, very few of them make head-to-head comparisons among the different TAVI models currently available. As a matter of fact, most are observational, non-randomized or non-inferiority clinical trials. On the other hand, the variability of the different models currently available has been growing with technological advances to perform easier, safer, and more durable transcatheter heart valves. However, can we assume that there will be some sort of class effect in all TAVI models currently available? In...
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spelling doaj.art-49ace839bca44b7dbf41a1a4c4eaa3c92023-05-10T07:17:34ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222023-05-0152899010.24875/RECICE.M22000358Class effect in TAVI: the time has come to know if they are all the sameCristóbal A. Urbano-Carrillo0Servicio de Cardiología, Hospital Regional Universitario de Málaga, Málaga, SpainThe time has come. Over the past few years, we have been living a constant increase in the number of patients with aortic stenosis who are treated with transcatheter aortic valve implantation (TAVI). Although the latest indications of the clinical practice guidelines from the European Society of Cardiology1 are somehow more restrictive than those of the American College of Cardiology2 regarding age cut-offs and surgical risk we’ve seen a growing demand for TAVI in low-risk patients and, progressively, in younger patients in almost all anatomical settings. Up until now, randomized clinical trials had mostly focused on comparing the TAVI technique to conventional aortic valve replacement surgery.3,4 And although these studies with different models of transcatheter aortic valves laid the foundation for the indications published by the guidelines, very few of them make head-to-head comparisons among the different TAVI models currently available. As a matter of fact, most are observational, non-randomized or non-inferiority clinical trials. On the other hand, the variability of the different models currently available has been growing with technological advances to perform easier, safer, and more durable transcatheter heart valves. However, can we assume that there will be some sort of class effect in all TAVI models currently available? In...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=1040
spellingShingle Cristóbal A. Urbano-Carrillo
Class effect in TAVI: the time has come to know if they are all the same
REC: Interventional Cardiology (English Ed.)
title Class effect in TAVI: the time has come to know if they are all the same
title_full Class effect in TAVI: the time has come to know if they are all the same
title_fullStr Class effect in TAVI: the time has come to know if they are all the same
title_full_unstemmed Class effect in TAVI: the time has come to know if they are all the same
title_short Class effect in TAVI: the time has come to know if they are all the same
title_sort class effect in tavi the time has come to know if they are all the same
url https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=1040
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