Which type of AVR procedure works best for very elderly people?

In a September 2015 study published in The Annals of Thoracic Surgery researchers found that transcatheter aortic valve replacement (TAVR) is a safe and effective way to treat aortic stenosis in nonagenarians who qualify for the surgical technique. The researchers used two different approaches for the study: transfemoral TAVR (TF-TAVR), which is the traditional approach performed via the groin, and transapical TAVR (TA-TAVR), which is performed via the heart muscle.

TA-TAVR is an alternative for people who are medically ineligible for TF-TAVR secondary to severe peripheral vascular disease. The study found that both transfemoral and transapical approaches to TAVR appear to be safe and effective for the treatment of aortic stenosis in select people age 90 years and older.

While this study did not evaluate other alternative options for TAVR, these techniques may include transaortic, transcaval, transcarotid or trans-subclavian. 

Continue Learning about Heart Surgeries

Heart Surgeries

Heart Surgeries

More than a half million surgeries are done each year to correct heart problems in children and adults. One of the most common types of heart surgery performed is coronary artery bypass grafting, which uses a blood vessel taken fr...

om another part of the body to bypass a blocked artery and help prevent a heart attack. Another is heart valve replacement, used to repair heart valves that don't open and close properly. Heart surgery can be minimally invasive, such as when a small incision is made to the chest to insert a pacemaker. At the other extreme is open-heart surgery, which requires a large incision to the chest to open the rib cage and operate on the heart. Learn more about the different kinds of heart surgeries with expert advice from Sharecare.
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