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Transcatheter Aortic-Valve Replacement with a Self-Expanding Valve in Low-Risk Patients

2019· article· en· 3,605 citations· W2922215374 on OpenAlex· 10.1056/nejmoa1816885

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Abstract

BACKGROUND: Transcatheter aortic-valve replacement (TAVR) is an alternative to surgery in patients with severe aortic stenosis who are at increased risk for death from surgery; less is known about TAVR in low-risk patients. METHODS: We performed a randomized noninferiority trial in which TAVR with a self-expanding supraannular bioprosthesis was compared with surgical aortic-valve replacement in patients who had severe aortic stenosis and were at low surgical risk. When 850 patients had reached 12-month follow-up, we analyzed data regarding the primary end point, a composite of death or disabling stroke at 24 months, using Bayesian methods. RESULTS: ). CONCLUSIONS: In patients with severe aortic stenosis who were at low surgical risk, TAVR with a self-expanding supraannular bioprosthesis was noninferior to surgery with respect to the composite end point of death or disabling stroke at 24 months. (Funded by Medtronic; ClinicalTrials.gov number, NCT02701283.).

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The record

Venue
New England Journal of Medicine
Topic
Cardiac Valve Diseases and Treatments
Field
Medicine
Canadian institutions
McGill University Health Centre
Funders
Medtronic
Keywords
MedicineValve replacementStenosisCardiologyInternal medicineAortic valve stenosisAortic valve replacementSurgery
Has abstract in OpenAlex
yes