Current treatment of symptomatic aortic stenosis in elderly patients: Do risk scores really matter after 80 years of age?

According to the guidelines, surgical aortic valve replacement (SAVR) is recommended in patients at low surgical risk (EuroSCORE II8%) in 18% of patients, intermediate (EuroSCORE II 4–8%) in 34% and low (EuroSCORE II≤4%) in 48%. TAVI was preferred in 71% of patients, SAVR in 19% and medical treatmen...

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Bibliographic Details
Published in:Archives of cardiovascular diseases 2021-10, Vol.114 (10), p.624-633
Main Authors: Bouleti, Claire, Michel, Morgane, Jobbe Duval, Antoine, Hemery, Thibaut, Nicol, Pierre-Philippe, Didier, Romain, Zeyons, Floriane, Zouaghi, Oualid, Tchetche, Didier, Delon, Clémence, Delomez, Maxence, Dibie, Alain, Attias, David, Le Breton, Hervé, Cormier, Bertrand, Obadia, Jean-François, Tribouilloy, Christophe, Lansac, Emmanuel, Chevreul, Karine, Naccache, Nicole, Eltchaninoff, Hélène, Gilard, Martine, Iung, Bernard
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic stenosis
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - surgery
Female
Heart Valve Prosthesis Implantation - adverse effects
Humans
Life Sciences
Male
Prospective Studies
Remplacement valvulaire aortique chirurgical
Remplacement valvulaire aortique percutané
Risk Assessment
Risk Factors
Risque opératoire
Rétrécissement aortique
Severity of Illness Index
Surgical aortic valve replacement
Transcatheter aortic valve implantation
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Summary:According to the guidelines, surgical aortic valve replacement (SAVR) is recommended in patients at low surgical risk (EuroSCORE II8%) in 18% of patients, intermediate (EuroSCORE II 4–8%) in 34% and low (EuroSCORE II≤4%) in 48%. TAVI was preferred in 71% of patients, SAVR in 19% and medical treatment in 10%. The choice of TAVI over SAVR was associated with older age (P
ISSN:1875-2136
1875-2128
DOI:10.1016/j.acvd.2021.06.011