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. 2021 Oct 31;10(21):5140. doi: 10.3390/jcm10215140

Table 6.

Decision Making Algorithm. TAVI for middle-aged patients.

Supported by EACTS/ESC Guidelines from 2021 [6] Supported by ACC/AHA Guidelines from 2020 [5]
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    Class I for patients at high risks (STS-PROM/EuroSCORE II > 8%) and unsuitable for surgery

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    Class IIb–non-transfemoral TAVI may be considered for inoperable or unsuitable for TF- TAVI and balloon dilatation may be seen as a bridge to SAVR or TAVI
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    Class 1 of recommendation for high prohibitive surgical risk with >1 year of life expectancy

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    Class 2b percutaneous balloon dilatation as bridge to SAVR or TAVI for critically ill patient
Pros Cons
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    An alternative for patients who refuse more invasive procedures although the choice of technique is that of the heart team and not of the patient

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    Multiples approaches available
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    not supported by long term results high risk of permanent pace maker