CCCardiol CroatCardiologia CroaticaCardiol. Croat.1848-543X1848-5448Croatian Cardiac SocietyCC_13(11-12)_38210.15836/ccar2018.382Extended AbstractSurgical aortic valve replacement in the era of transcatheter aortic valve implantation: are cardiac surgeons going out of business?Kirurška zamjena aortnog zaliska u eri u transkateterske implantacije aortnog zaliska: ostaju li kirurzi bez posla?https://orcid.org/0000-0003-2740-4067UnićDanielUniversity Hospital Dubrava, Zagreb, CroatiaADDRESS FOR CORRESPONDENCE: Daniel Unić, Klinička bolnica Dubrava, Avenija G. Šuška 6, HR-10000 Zagreb, Croatia. / Phone: +385-1-290-2515 / E-mail: dunic@kbd.hr1120181311-1238238226102018051120182018Croatian Cardiac SocietyKlinička bolnica DubravaZagrebHrvatskaKLJUČNE RIJEČI: zamjena aortnog zaliskatranskateterska ugradnja aortnog zaliskaKEYWORDS: aortic valve replacementtranscatheter aortic valve implantation
With the development of transcatheter aortic valve implantation (TAVI) an alternative has emerged to an established surgical treatment of aortic stenosis. After initial success in treating patients with prohibitively high surgical risk, we have witnessed recent expansion of the method on patient groups of intermediate and low risk, a “traditional” surgical cohort, with long experience and excellent results of surgical treatment.
The paper involves a short history of the TAVI procedure development, review of pivotal and recent literature on the topic. Moreover, it discusses the future expansion of the method and its impact on surgical AVR, as well as critically appraises certain aspects of the literature (1, 2), comparing them to own and surgical literature results.
LITERATURELeonMBSmithCRMackMJMakkarRRSvenssonLGKodaliSKPARTNER 2 Investigators. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. . 2016 Apr 28;374(17):1609–20. https://orcid.org/10.1056/NEJMoa151461610.1056/NEJMoa151461627040324ReardonMJVan MieghemNMPopmaJJKleimanNSSøndergaardLMumtazMSURTAVI Investigators. Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients. . 2017 Apr 6;376(14):1321–31. https://orcid.org/10.1056/NEJMoa170045610.1056/NEJMoa170045628304219