TAVR in Patients with Pure Aortic Regurgitation: Ready to Use?

Abstract:

PURPOSE OF THE REVIEW:Moderate or severe aortic regurgitation (AR) occurs in 0.5% of the population and typically peaks in the fourth to sixth decade of life. A significant proportion of patients have prohibitive surgical risk and are therefore treated medically with pharmacological management of heart failure and no definitive treatment of the underlying valvular pathology. RECENT FINDINGS:Transcatheter aortic valve replacement (TAVR) has been used in an off-label setting to treat AR to attempt to reduce mortality and improve quality of life with varying levels of success. New-generation TAVR devices currently used in AS have demonstrated safety and feasibility when used in patients with AR. Novel TAVR devices dedicated for use in AR are being developed and early studies demonstrate promising results. Ongoing studies with larger clinical trials and novel methods of device anchoring are required, which if positive, will in turn lead to commercial approval and reimbursement, eventually making TAVR ready for use in AR.

journal_name

Curr Cardiol Rep

authors

Markham R,Ghodsian M,Sharma R

doi

10.1007/s11886-020-01338-6

subject

Has Abstract

pub_date

2020-07-28 00:00:00

pages

98

issue

9

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-020-01338-6

journal_volume

22

pub_type

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