TAVI or SAVR for Aortic-Valve Stenosis | NEJM

Transcatheter aortic-valve implantation is increasingly used instead of surgical valve replacement, but evidence comparing the two approaches in clinical practice is limited.
Research findings are summarized in a new Quick Take video.
To see the full article, follow this link: nej.md/3TLx8MT
#surgery #cardiology #clinicaltrials #nejm

[@bostondan77]

Was this serious not randomized? What’s up Germany? And will be interesting to know outcomes in 15 years when redo valve is needed.

[@benjaminnhlam2867]

It was randomized.

[@scisorkarn]

RIP Cardiac Surgery 1801 - 2024 🤣

[@SK-lt1so]

A lot of exceptions:
"Patients with untreated and clinically significant coronary artery disease were excluded to avoid concomitant SAVR and coronary-artery bypass grafting, which is associated with an increased surgical risk. Patients who had undergone previous cardiac surgery, had bicuspid aortic-valve or other valvular heart disease, or had associated diseases warranting additional surgical t treatment."

[@2394098234509]

They're both non-inferior but one looks more non-inferior than the other