Surgical vs. trans-catheter aortic valve replacement in patients With bicuspid aortic valve stenosis - Takeaways - MDSpire

Surgical vs. trans-catheter aortic valve replacement in patients With bicuspid aortic valve stenosis

  • By

  • Kobi Faierstein

  • Tal Caller

  • Dassi Moshkovitz

  • Efrat Sharon

  • Roy Raphael

  • Ido Cohen

  • Noam Makmal

  • Efrat Mazoe Dray

  • Afek Ash

  • Elad Maor

  • Ehud Regev

  • Amit Segev

  • Israel M. Barbash

  • Paul Fefer

  • June 25, 2026

  • 0 min

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  • 1

    The study compared outcomes of transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in patients with bicuspid aortic valve stenosis.

  • 2

    A total of 480 patients were included, with 75 undergoing TAVI and 405 undergoing SAVR, showing significant differences in demographics and outcomes.

  • 3

    TAVI was associated with higher mortality, increased pacemaker implantation rates, more paravalvular leaks, and higher heart failure hospitalizations compared to SAVR.

  • 4

    Stroke rates were similar between the TAVI and SAVR groups, indicating no significant difference in this outcome.

  • 5

    Age-matched analyses confirmed that SAVR had better survival and fewer complications than TAVI in patients with bicuspid aortic valve stenosis.

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