Seven-year study finds non-surgical valve replacement holds up as well as open-heart surgery - Medical Xpress
Popular media surfaced a seven-year TAVR-vs-SAVR narrative claiming transcatheter equivalence on durability.
The underlying data (unspecified in the coverage) sits within the same evidentiary frame flagged in recent JACC editorials on "indication creep" : intermediate-risk trials pooled with low-risk trials generate composite hazard reductions that don't survive when stratified.
Meta-analyses have shown a mortality signal favoring TAVR at 5 years in lower-risk patients (HR 0.80), but the signal disappears when intermediate-risk cohorts are excluded — and no RCT has reported durable ≥10-year TAVR outcomes in patients Turkish single-center retrospective comparing robot-assisted vs transcatheter ASD closure (N=635) found longer procedural times but lower post-procedural TR with robotic surgery (3.2% device migration in transcatheter arm) — a reminder that shunt closure and valve replacement live on different risk curves.
Seven-year study finds non-surgical valve replacement holds up as well as open-heart surgery Medical Xpress
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