Skip to main content

Early TAVR Beneficial for Asymptomatic Severe Aortic Stenosis

Medically reviewed by Carmen Pope, BPharm. Last updated on Nov 1, 2024.

By Elana Gotkine HealthDay Reporter

FRIDAY, Nov. 1, 2024 -- Early transcatheter aortic valve replacement (TAVR) is better than clinical surveillance for reducing the incidence of death, stroke, and unplanned hospitalization for cardiovascular causes among patients with asymptomatic severe aortic stenosis, according to a study published online Oct. 28 in the New England Journal of Medicine. The research was published to coincide with the annual Transcatheter Cardiovascular Therapeutics conference, held from Oct. 27 to 30 in Washington, D.C.

Philippe Généreux, M.D., from Morristown Medical Center in New Jersey, and colleagues randomly assigned patients from 75 centers with asymptomatic severe aortic stenosis to undergo early TAVR with transfemoral placement of a balloon-expandable valve or clinical surveillance (455 and 446 patients, respectively).

The researchers found that 26.8 and 45.3 percent of patients in the TAVR and clinical surveillance groups had a primary end point event (composite of death, stroke, or unplanned hospitalization for cardiovascular causes; hazard ratio, 0.50). Among patients assigned to TAVR and clinical surveillance, death occurred in 8.4 and 9.2 percent, respectively; stroke in 4.2 and 6.7 percent; and unplanned hospitalization for cardiovascular causes in 20.9 and 41.7 percent. Eighty-seven percent of patients in the clinical surveillance group underwent aortic valve replacement during a median follow-up of 3.8 years.

"Among patients with asymptomatic severe aortic stenosis, a strategy of early TAVR was superior to guideline-recommended clinical surveillance in reducing the composite end point of death, stroke, or unplanned hospitalization for cardiovascular causes," the authors write.

The study was funded by Edwards Lifesciences.

Abstract/Full Text (subscription or payment may be required)

More Information

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

© 2025 HealthDay. All rights reserved.

Read this next

Endolymphatic Sac Decompression Effective for Vertigo, Migraine

WEDNESDAY, May 28, 2025 -- For Meniere disease (MD) patients with migraine, endolymphatic sac decompression (ELSD) is effective, providing postoperative relief of vertigo and...

One-Week Radiotherapy for Breast Cancer Safe, Effective Up to 10 Years

TUESDAY, May 27, 2025 -- A five-fraction, one-week schedule of adjuvant breast radiotherapy is as safe and effective as a standard three-week schedule for patients with invasive...

Pediatric Magnet Ingestion Rates Still High

THURSDAY, May 22, 2025 -- Global pediatric magnet ingestion rates remain high and incidence has increased, despite the implementation of national policies, according to a review...

More news resources

Subscribe to our newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.