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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients

Martin B Leon1, Craig R Smith1, Michael J Mack1

  • 1From the Columbia University Medical Center (M.B.L., C.R.S., S.K.K., D.D., J.W.M., R.T.H., M.C.A.) and New York University Langone Medical Center (M.R.W.) - both in New York; Baylor Scott and White Healthcare, Plano, TX (M.J.M., D.L.B.); Cedars-Sinai Medical Center, Los Angeles (R.R.M., A.T.), Stanford University, Stanford (D.C.M., W.F.F.), and independent consultant (W.N.A.), Lake Forest - all in California; Cleveland Clinic, Cleveland (L.G.S., E.M.T., S.K., W.A.J.); Emory University, Atlanta (V.H.T., V.B.); University of Pennsylvania, Philadelphia (H.C.H., W.Y.S.); St. Luke's Mid America Heart Institute, Kansas City (D.J.C.), and Washington University, St. Louis (A.Z.) - both in Missouri; Medstar Washington Hospital Center, Washington, DC (A.D.P.); HCA Medical City Dallas Hospital, Dallas (T.D.); Christ Hospital, Cincinnati (D.K.); Mayo Clinic, Rochester, MN (K.L.G.); Intermountain Medical Center, Salt Lake City (B.K.W.); Providence St. Vincent Hospital, Portland, OR (R.W.H.); and Laval University, Quebec, QC (P.P.), and St. Paul's Hospital, Vancouver, BC (J.G.W.) - both in Canada.

The New England Journal of Medicine
|April 5, 2016
PubMed
Summary

Transcatheter aortic-valve replacement (TAVR) showed similar survival to surgical aortic-valve replacement in intermediate-risk patients. TAVR also reduced complications like kidney injury and bleeding.

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