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Purpose of Review <p>This review provides a practical, evidence-based summary of optimal device selection for patients with aortic stenosis undergoing transcatheter aortic valve replacement in order to guide clinicians in providing the most current treatment options for their patients.</p> Recent Findings <p>The use of transcatheter heart valves has expanded to include younger patients and those with low or moderate surgical risk. There have been significant technological advances in both balloon-expandable and self-expanding valves to provide a minimally invasive approach toward valve replacement; however, device selection is based on numerous patient factors that have been better characterized in recent literature.</p> Summary <p>Heart centers involving multi-disciplinary care teams are equipped to provide patients with advanced diagnostic imaging and novel transcatheter options for aortic valve replacement. Both balloon-expandable and self-expanding valves play an integral role and optimal device selection is achieved through a nuanced, bespoke approach that prioritizes the lifetime management of each patient.</p>

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Balloon-Expandable Versus Self-Expanding Transcatheter Heart Valves: Considerations for Device Selection for the Treatment of Aortic Stenosis

  • 期刊论文

  • 发表日期：

    2026年7月10日

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  • Shantum Misra,
  • Natalia C. Berry,
  • Henry J. Tannous,
  • Mazen Albaghdadi,
  • Molly Szerlip,
  • Suzanne Baron,
  • James T. DeVries,
  • Michael N. Young

摘要

Purpose of Review

This review provides a practical, evidence-based summary of optimal device selection for patients with aortic stenosis undergoing transcatheter aortic valve replacement in order to guide clinicians in providing the most current treatment options for their patients.

Recent Findings

The use of transcatheter heart valves has expanded to include younger patients and those with low or moderate surgical risk. There have been significant technological advances in both balloon-expandable and self-expanding valves to provide a minimally invasive approach toward valve replacement; however, device selection is based on numerous patient factors that have been better characterized in recent literature.

Summary

Heart centers involving multi-disciplinary care teams are equipped to provide patients with advanced diagnostic imaging and novel transcatheter options for aortic valve replacement. Both balloon-expandable and self-expanding valves play an integral role and optimal device selection is achieved through a nuanced, bespoke approach that prioritizes the lifetime management of each patient.