The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Cost-effectiveness of TAVR in low-risk patients: do we have more than a NOTION?

EuroIntervention 2019;15:e953-e955. DOI: 10.4244/EIJV15I11A179

1. Mid-Atlantic Permanente Medical Group, Rockville, MD, USA; 2. Lahey Hospital and Medical Center, Burlington, MA, USA; 3. University of Missouri-Kansas City, Kansas City, MO, USA

Over the past decade, the emergence of transcatheter aortic valve replacement (TAVR) has opened a new world of options for treatment of patients with severe symptomatic aortic stenosis (AS). Trials in intermediate- and high-risk surgical patients have demonstrated TAVR to be non-inferior to surgical aortic valve replacement (SAVR)1,2,3. Nonetheless, given the much higher acquisition cost of a TAVR device compared with a surgical bioprosthesis, the cost-effectiveness of this approach has been questioned. While transfemoral TAVR was found to be reasonably cost-effective compared with SAVR in the high-risk population4,5, the economics of TAVR appear to be even more favourable in ...

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