Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement
Authors: Marat Fudim, Gerald S. Bloomfield, Zainab Samad
Journal: Annals of Internal Medicine (2017)

Letters18 April 2017Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve ReplacementMarat Fudim, MD, Gerald S. Bloomfield, MD, and Zainab Samad, MDMarat Fudim, MDFrom Duke University Medical Center, Durham, North Carolina.Search for more papers by this author, Gerald S. Bloomfield, MDFrom Duke University Medical Center, Durham, North Carolina.Search for more papers by this author, and Zainab Samad, MDFrom Duke University Medical Center, Durham, North Carolina.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0105 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We commend Gargiulo and colleagues for their systematic review and meta-analysis of the literature on TAVI and SAVR (1). The authors compare short- and long-term clinical outcomes and harms of both therapies. Despite the limited number of eligible studies, their findings suggest that TAVI tends to perform as well as SAVR in the general population. They report that TAVI trends toward better short-term (≤30 days) and midterm (≤1 year) outcomes in patients at low to intermediate risk. The PARTNER 2 (Placement of Aortic Transcatheter Valves 2) trial, which was included in this analysis, supported these findings (2).... References1. Gargiulo G, Sannino A, Capodanno D, Barbanti M, Buccheri S, Perrino C, et al. Transcatheter aortic valve implantation versus surgical aortic valve replacement: a systematic review and meta-analysis. Ann Intern Med. 2016;165:334-44. [PMID: 27272666]. doi:10.7326/M16-0060 LinkGoogle Scholar2. Leon MB, Smith CR, Mack MJ, Makkar RR, Svensson LG, Kodali SK, et al; PARTNER 2 Investigators. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med. 2016;374:1609-20. [PMID: 27040324] doi:10.1056/NEJMoa1514616 CrossrefMedlineGoogle Scholar3. Kim SJ, Samad Z, Bloomfield GS, Douglas PS. A critical review of hemodynamic changes and left ventricular remodeling after surgical aortic valve replacement and percutaneous aortic valve replacement. Am Heart J. 2014;168:150-9. [PMID: 25066553] doi:10.1016/j.ahj.2014.04.015 CrossrefMedlineGoogle Scholar4. Dayan V, Vignolo G, Soca G, Paganini JJ, Brusich D, Pibarot P. Predictors and outcomes of prosthesis–patient mismatch after aortic valve replacement. JACC Cardiovasc Imaging. 2016;9:924-33. [PMID: 27236530] doi:10.1016/j.jcmg.2015.10.026 CrossrefMedlineGoogle Scholar5. Patel MR, Armstrong PW, Bhatt DL, Braunwald E, Camm AJ, Fox KA, et al; Academic Research Organization Consortium for Continuing Evaluation of Scientific Studies—Cardiovascular (ACCESS CV). Sharing data from cardiovascular clinical trials—a proposal. N Engl J Med. 2016;375:407-9. [PMID: 27518659] doi:10.1056/NEJMp1605260 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Duke University Medical Center, Durham, North Carolina.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L17-0105. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoTranscatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement Giuseppe Gargiulo , Anna Sannino , Davide Capodanno , Marco Barbanti , Sergio Buccheri , Cinzia Perrino , Piera Capranzano , Ciro Indolfi , Bruno Trimarco , Corrado Tamburino , and Giovanni Esposito Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement Xinlin Zhang and Biao Xu Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement Giuseppe Gargiulo , Davide Capodanno , Corrado Tamburino , Bruno Trimarco , and Giovanni Esposito Metrics 18 April 2017Volume 166, Issue 8Page: 605-606KeywordsAortic valve replacementDisclosureForecastingHemodynamicsInformation storage and retrievalMortalityRisk managementSystematic reviews ePublished: 18 April 2017 Issue Published: 18 April 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...