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. 2020 Sep 1;9(2):377–394. doi: 10.1007/s40119-020-00198-z
The PARTNER 3 and Evolut Low Risk trials will greatly expand the use of TAVR to a significantly larger group of eligible patients with severe aortic stenosis.
SAVR remains a vital treatment choice in patients with high anatomical risk including bicuspid aortic valve, heavy annular calcification, and low coronary heights.
The long-term impact of increased pacemaker use, paravalvular regurgitation, and durability concerns associated with transcatheter heart valves is still unknown.
Leaflet thickening and future coronary re-access remain significant concerns with TAVR.