articleNew England Journal of MedicineMar 16, 2019BRONZE OA

Transcatheter Aortic-Valve Replacement with a Self-Expanding Valve in Low-Risk Patients

Hadassah Medical Center · UPMC Health System · +25 more institutions

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Abstract

Background

Transcatheter aortic-valve replacement (TAVR) is an alternative to surgery in patients with severe aortic stenosis who are at increased risk for death from surgery; less is known about TAVR in low-risk patients.

Methods

We performed a randomized noninferiority trial in which TAVR with a self-expanding supraannular bioprosthesis was compared with surgical aortic-valve replacement in patients who had severe aortic stenosis and were at low surgical risk. When 850 patients had reached 12-month follow-up, we analyzed data regarding the primary end point, a composite of death or disabling stroke at 24 months, using Bayesian methods.

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Funding