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. 2019 May;112(5):649–705. doi: 10.5935/abc.20190086
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.