PCR-Supported-case-the-future-of-aortic-valve-replacement-from-index-procedure-to-lifetime-management

Based on the overall findings, I would:
Advise the patient to undergo surgical valve replacement, contrary to her wishes. This is supported by the low risk involved and the possibility of providing the patient with a prosthetic valve that has proven long-term durability
Comply with the patient’s wishes and plan a transfemoral aortic valve replacement. Given the overall favorable anatomy, a good outcome from the index procedure can be expected
In the case of TAVI, which prosthesis design is preferable?
A self-expanding prosthesis to achieve optimal hemodynamics; access to the coronary arteries (coronary artery disease is currently ruled out) and planning for a re-do procedure are initially of secondary importance

Balloon-expandable prosthesis due to lower pacemaker rates, preserved coronary access, and a less complex re-do procedure

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