The choice between surgical aortic valve replacement and TAVI | ||
---|---|---|
Recommendation | Grade of recommendation | Level of evidence |
Surgical aortic valve replacement is recommended in patients who have indications for surgical treatment and who have low or intermediate surgical risks | I | A |
In patients under consideration for TAVI and in those with high surgical risk for valve replacement, members of a Heart Team should collaborate to provide the patient with the best care possible | I | C |
TAVI is recommended for patients indicated for surgical aortic valve replacement, with prohibitive surgical risk and post-TAVI life expectancy of more than 12 months | I | B |
TAVI is a reasonable alternative to surgical aortic valve replacement in patients who meet indications for surgical treatment and who have high surgical risks | IIa | B |
Balloon aortic valvuloplasty may be considered as a bridge to surgical or percutaneous valve replacement in severely symptomatic patients with severe aortic stenosis | IIb | C |
TAVI is not recommended for patients whose existent comorbidities would impede the benefits expected from correction of aortic stenosis | III | B |
TAVI: transcatheter aortic valve implantation.