Severe aortic stenosis is a progressive disease of the aortic valve in which the leaflets and or the annulus of the aorta become so calcified and stiff over time that the valve becomes significantly compromised and is unable to function as it typically does, thereby decreasing the amount of blood that flows out of the heart.
Patients diagnosed with severe aortic stenosis currently have more options in replacing the valve with newer technologies and techniques that could offer a less invasive choice than the traditional open-heart surgical method, but which option is more appropriate? Current evidence demonstrates that transcatheter aortic valve replacements (TAVR) and surgical aortic valve replacements (SAVR) are preferable in specific patients based on certain demographics that include but are not limited to age, comorbidities, and frailty scale. TAVR vs. SAVR article reviews show no significant short-term difference in all-cause mortality. Also noted was moderate to clinically meaningful improvement in quality of life after aortic valve replacement. The purpose of this review is to inform and educate advanced practice providers who work in the areas of primary care and cardiology. This would prove crucial in the early diagnosis of patients with severe aortic stenosis to affect early intervention and hopefully reduce unnecessary deaths.
Montgomery A. Transcatheter Aortic Valve Replacement versus Surgical Aortic Valve Replacement. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2023; 5(2).
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