Self-Expanding or Balloon-Expandable TAVR in Patients with a Small Aortic Annulus

• Published in: The New England journal of medicine Vol. 390; no. 21; pp. 1959 - 1971
• Main Authors: Herrmann, Howard C., Mehran, Roxana, Blackman, Daniel J., Bailey, Stephen, Möllmann, Helge, Abdel-Wahab, Mohamed, Ben Ali, Walid, Mahoney, Paul D., Ruge, Hendrik, Wood, David A., Bleiziffer, Sabine, Ramlawi, Basel, Gada, Hemal, Petronio, Anna Sonia, Resor, Charles D., Merhi, William, Garcia del Blanco, Bruno, Attizzani, Guilherme F., Batchelor, Wayne B., Gillam, Linda D., Guerrero, Mayra, Rogers, Toby, Rovin, Joshua D., Szerlip, Molly, Whisenant, Brian, Deeb, G. Michael, Grubb, Kendra J., Padang, Ratnasari, Fan, Myra T., Althouse, Andrew D., Tchétché, Didier
• Format: Journal Article
• Language: English
• Published: United States Massachusetts Medical Society 06.06.2024
• Subjects: Aged; Aged, 80 and over; Aortic stenosis; Aortic Valve - surgery; Aortic Valve Stenosis - complications; Aortic Valve Stenosis - surgery; Balloon treatment; Bioprosthesis - adverse effects; Cardiology; Cardiology General; Cardiovascular Surgery; Clinical outcomes; Confidence intervals; Congestive heart failure; Endocarditis; Female; Heart Failure; Heart Valve Prosthesis; Hemodynamics; Humans; Kaplan-Meier Estimate; Laboratories; Male; Missing data; Patients; Postoperative Complications - etiology; Prostheses; Prosthesis Design; Prosthesis Failure; Software; Statistical analysis; Statistical methods; Stroke - etiology; Surgery; Thorax; Thrombosis; Transcatheter Aortic Valve Replacement - adverse effects; Valvular Heart Disease
• ISSN: 0028-4793; 1533-4406; 1533-4406
• DOI: 10.1056/NEJMoa2312573

In a trial of TAVR in patients with a small aortic annulus, a self-expanding valve was noninferior to a balloon-expandable valve for clinical outcomes and was superior for bioprosthetic-valve dysfunction through 12 months.