The growing demand for minimally invasive aortic valve replacement in adults younger than 65 may have greater risk for more complicated heart surgeries later, according to a University of Rochester (N.Y.) Medicine study.
The study, published April 13 in The Annals of Thoracic Surgery, used the Vizient Clinical Database to analyze nearly 14,000 aortic stenosis cases between 2018 and 2023.
Researchers found nearly half of the lowest risk patients underwent transcatheter aortic valve replacement despite recommendations they undergo surgical aortic valve replacement. TAVR is less invasive and often has a faster recovery, which makes it a good fit for older adults and younger adults whose mortality risk is high, according to a May 26 news release from the health system. However, replacing a failed TAVR valve requires SAVR surgery, which can lead to future complications.
The rapid adoption of TAVR in younger adults has outpaced data on the durability of the valve and long-term patient outcomes, according to the release.
“Careful decision-making is needed and patients should do their homework and talk with their physicians,” study co-author and Rochester Medicine Chief of Cardiac Surgery Peter Knight, MD, said in the release. “You have to look at the short- and long-term needs when making this important choice.”
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