Ischemic Heart Disease (D Mukherjee, Section Editor)

Current Cardiology Reports

, 16:473

First online:

Health-Related Quality of Life After Transcatheter or Surgical Aortic Valve Replacement in High-Risk Patients with Severe Aortic Stenosis: an Updated Review of Literature

  • Saurav ChatterjeeAffiliated withDivision of Cardiovascular Diseases, St. Luke’s - Roosevelt Hospital Center, Division of Cardiology Email author 
  • , Dharam Jaydeep KumbhaniAffiliated withDivision of Cardiology, University of Texas Southwestern
  • , Partha SardarAffiliated withDepartment of Internal Medicine, Metropolitan Hospital Center-New York Medical College
  • , Anasua ChakrabortyAffiliated withDivision of Pulmonary Medicine and Critical Care, Thomas Jefferson University Hospital
  • , Giuseppe Biondi-ZoccaiAffiliated withDepartment of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome
  • , Manpreet Singh SabharwalAffiliated withDivision of Cardiovascular Diseases, St. Luke’s - Roosevelt Hospital Center, Division of Cardiology
  • , Richard RoAffiliated withDivision of Cardiovascular Diseases, St. Luke’s - Roosevelt Hospital Center, Division of Cardiology
  • , Balaji PratapAffiliated withDivision of Cardiovascular Diseases, St. Luke’s - Roosevelt Hospital Center, Division of Cardiology
  • , Chirag P. BavishiAffiliated withDivision of Cardiovascular Diseases, St. Luke’s - Roosevelt Hospital Center, Division of Cardiology
    • , Sripal BangaloreAffiliated withDivision of Cardiology, New York University School of Medicine

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Abstract

Recent trials have highlighted the comparable mortality benefits and durability of the results for patients with severe aortic stenosis (AS) and high surgical risk managed with either transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (AVR). Various national guidelines and international regulatory bodies have approved TAVR, thereby leading to potential wide usage and dissemination of this technique worldwide. Quality-of-life outcomes, in spite of being an important measure of success and acceptability of the procedure, have not been publicized as extensively. For high risk patients with severe AS, implementation of TAVR has resulted in comparable survival, but different and novel adverse events compared with AVR. We present an updated review focusing on the quality-of-life outcomes and issues with this new and important procedural approach.

Keywords

Health-related quality of life Surgical aortic valve replacement Transcatheter aortic valve replacement Transapical Transfemoral Severe aortic stenosis High-risk patients