Differences in life expectancy within and between countries: implications for domestic TAVI guidelines in Australia and Aotearoa New Zealand

The advent of transcatheter aortic valve implantation (TAVI) has caused a paradigm shift in the management of aortic stenosis away from traditional surgical aortic valve replacement (SAVR). However, uncertainty remains about the long-term (>10 year) durability of TAVI valves, especially in younge...

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Veröffentlicht in:New Zealand medical journal 2024-04, Vol.137 (1593), p.75-80
Hauptverfasser: Ryan, Thomas D, Ryan, Jonathon B
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container_issue 1593
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container_title New Zealand medical journal
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creator Ryan, Thomas D
Ryan, Jonathon B
description The advent of transcatheter aortic valve implantation (TAVI) has caused a paradigm shift in the management of aortic stenosis away from traditional surgical aortic valve replacement (SAVR). However, uncertainty remains about the long-term (>10 year) durability of TAVI valves, especially in younger patients. This viewpoint collates life expectancy data from Australia and Aotearoa New Zealand to propose sex-specific age-based recommendations for choice of SAVR versus TAVI in their respective general populations and among Aboriginal and Torres Strait Islander people in Australia and both Māori and Pacific peoples living in Aotearoa New Zealand.
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subjects Aortic Valve - surgery
Aortic Valve Stenosis - surgery
Australia
Australian Aboriginal and Torres Strait Islander Peoples
Female
Humans
Life Expectancy
Male
Maori People
New Zealand
Risk Factors
Transcatheter Aortic Valve Replacement
Treatment Outcome
title Differences in life expectancy within and between countries: implications for domestic TAVI guidelines in Australia and Aotearoa New Zealand
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