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

Editorial

Transcatheter aortic valve implantation in nonagenarians – old…but not obsolete!

EuroIntervention 2020;15:1474-1475. DOI: 10.4244/EIJV15I17A268

1. Heart Center Bonn, University Hospital Bonn, Bonn, Germany


Transcatheter aortic valve implantation (TAVI) is an incomparable success story in modern cardiovascular medicine and has recently changed the management of severe aortic stenosis (AS) to a transcatheter approach for all patients, regardless of surgical risk. However, very elderly patients have been underrepresented in most randomised studies, although they will represent an ever-expanding group. Because this disease is linked to ageing and the prevalence will only increase with growing life expectancy, it is important to consider them as well.

With the recently published low-risk TAVI trials, we have learned that low surgical risk does not necessarily mean only ...

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