TY - JOUR
T1 - Decision-Making Approach to the Treatment of Young and Low-Risk Patients With Aortic Stenosis
AU - A Perspective From the American College of Cardiology Cardiac Surgery Team and Interventional Cardiology Councils
AU - Gupta, Tanush
AU - Malaisrie, S. Chris
AU - Batchelor, Wayne
AU - Boudoulas, Konstantinos Dean
AU - Davidson, Laura
AU - Ibebuogu, Uzoma N.
AU - Kpodonu, Jacques
AU - Singh, Ramesh
AU - Sultan, Ibrahim
AU - Theriot, Misty
AU - Reardon, Michael J.
AU - Leon, Martin B.
AU - Grubb, Kendra J.
N1 - Publisher Copyright:
© 2024 American College of Cardiology Foundation
PY - 2024/11/11
Y1 - 2024/11/11
N2 - Over a decade of randomized controlled trial data demonstrate excellent outcomes with transcatheter aortic valve replacement or surgical aortic valve replacement for patients with symptomatic severe aortic stenosis regardless of surgical risk. The 2020 American College of Cardiology/American Heart Association guidelines recommend both options for low-risk AS patients aged 65 to 80 years. However, the fastest growing population of patients receiving transcatheter aortic valve replacement in the United States is <65 years old, with little data to support the practice. The American College of Cardiology's Cardiac Surgery Team Section Leadership and Interventional Cardiology Councils, a multidisciplinary collaboration of cardiologists and cardiac surgeons, sought to summarize the relevant data into a decision-making tool for heart valve teams. A literature review was completed, and guidelines, randomized controlled trials, and large observational studies were summarized into a pragmatic decision-making approach to treating young and low-risk patients with AS.
AB - Over a decade of randomized controlled trial data demonstrate excellent outcomes with transcatheter aortic valve replacement or surgical aortic valve replacement for patients with symptomatic severe aortic stenosis regardless of surgical risk. The 2020 American College of Cardiology/American Heart Association guidelines recommend both options for low-risk AS patients aged 65 to 80 years. However, the fastest growing population of patients receiving transcatheter aortic valve replacement in the United States is <65 years old, with little data to support the practice. The American College of Cardiology's Cardiac Surgery Team Section Leadership and Interventional Cardiology Councils, a multidisciplinary collaboration of cardiologists and cardiac surgeons, sought to summarize the relevant data into a decision-making tool for heart valve teams. A literature review was completed, and guidelines, randomized controlled trials, and large observational studies were summarized into a pragmatic decision-making approach to treating young and low-risk patients with AS.
KW - aortic stenosis
KW - clinical practice guidelines
KW - heart valve team
KW - shared decision-making
KW - surgical aortic valve replacement
KW - transcatheter aortic valve replacement
UR - http://www.scopus.com/inward/record.url?scp=85207692741&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85207692741&partnerID=8YFLogxK
U2 - 10.1016/j.jcin.2024.08.032
DO - 10.1016/j.jcin.2024.08.032
M3 - Review article
C2 - 39537269
AN - SCOPUS:85207692741
SN - 1936-8798
VL - 17
SP - 2455
EP - 2471
JO - JACC: Cardiovascular Interventions
JF - JACC: Cardiovascular Interventions
IS - 21
ER -