Low Gradient, "Dismal" Outcome TAVR: Should We?

Catheter Cardiovasc Interv. 2017 May;89(6):1107-1108. doi: 10.1002/ccd.27084.

Abstract

Low gradient (<40 mm) aortic valve stenosis (AVA < 1.0 cm2 ) outcomes with TAVR are worse than when gradients are > 40 mm Hg. Concomitant coronary disease, older age, presence of diabetes, and lower ejection fraction in patients with low gradient aortic valve stenosis account for the poorer outcome after TAVR. Historically, similar results have been seen with surgical AVR.

Publication types

  • Editorial
  • Comment

MeSH terms

  • Aortic Valve / surgery
  • Aortic Valve Stenosis / surgery*
  • Heart Valve Prosthesis Implantation*
  • Humans
  • Severity of Illness Index
  • Stroke Volume
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome