Volume 92, Issue 4 pp. 766-767
Valvular and Structural Heart Diseases

TAVR and SAVR in ESRD: Just because we can doesn't necessarily mean that we should

Mark Hensey MB, BCh, BAO

Mark Hensey MB, BCh, BAO

Centre for Heart Valve Innovation, St. Paul's Hospital, University of British Columbia, Canada

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John G. Webb MD

Corresponding Author

John G. Webb MD

Centre for Heart Valve Innovation, St. Paul's Hospital, University of British Columbia, Canada

Correspondence

John Webb, MD, Centre for Heart Valve Innovation, St. Paul's Hospital, University of British Columbia, 1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.

Email: [email protected]

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First published: 19 October 2018
Citations: 3

Key Points

  • In patients with end stage renal disease on hemodialysis, TAVR resulted in reduced length of stay, hospitalization cost, complication rate and higher rates of home discharge compared to SAVR.
  • In-hospital mortality and complication rates were high in both groups.
  • Careful patient selection and further research is required to identify patients with end-stage renal disease who might, or might not, benefit from intervention.

CONFLICT OF INTEREST

Dr Webb is a consultant to and receives research support from Edwards Lifesciences, Abbott Vascular and Boston Scientific.

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