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

Samuel M Butman

Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)

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.

Keyphrases

aortic valve
aortic stenosis
transcatheter aortic valve replacement
ejection fraction
aortic valve replacement
transcatheter aortic valve implantation
coronary artery disease
cardiovascular disease
type diabetes
left ventricular
coronary artery
physical activity
glycemic control
middle aged
insulin resistance