[Transcatheter aortic valve implantation: an overview]

Area of Science:

• Cardiology
• Interventional Cardiology
• Medical Technology

Background:

• Transcatheter aortic valve implantation (TAVI) has shifted from a high-risk procedure to a mainstream alternative for severe aortic stenosis.
• The adoption and outcomes of TAVI are improving in the Netherlands, with decreasing complication rates.

Purpose of the Study:

• To evaluate the evolving role of TAVI in treating severe aortic stenosis.
• To identify areas requiring further investigation for TAVI to become the preferred treatment.

Main Methods:

• Observational analysis of TAVI adoption and outcomes.
• Review of existing literature on TAVI efficacy and patient selection.

Main Results:

• TAVI is increasingly used and demonstrates improving outcomes and reduced complications.
• TAVI is now considered equivalent to surgical valve replacement for most symptomatic severe aortic stenosis patients.

Conclusions:

• TAVI is a safe and effective treatment option for severe aortic stenosis.
• Further research on valve durability, optimal patient selection, and long-term quality of life is essential to establish TAVI as the preferred treatment.