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The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Five-Year Outcomes of Transcatheter or Surgical Aortic-Valve Replacement

Open access
Makkar, Raj R., Thourani, Vinod H., Mack, Michael J., Kodali, Susheel K., Kapadia, Samir, Webb, John G., Yoon, Sung-Han, Trento, Alfredo, Svensson, Lars G., Herrmann, Howard C., Szeto, Wilson Y., Miller, D. Craig, Satler, Lowell, Cohen, David J., Dewey, Todd M., Babaliaros, Vasilis, Williams, Mathew R., Kereiakes, Dean J., Zajarias, Alan, Greason, Kevin L., Whisenant, Brian K., Hodson, Robert W., Brown, David L., Fearon, William F., Russo, Mark J., Pibarot, Philippe, Hahn, Rebecca T., Jaber, Wael A., Rogers, Erin, Xu, Ke, Wheeler, Jaime, Alu, Maria C., Smith, Craig R., Leon, Martin B.·2020·New England Journal of Medicine

Abstract

BACKGROUND: There are scant data on long-term clinical outcomes and bioprosthetic-valve function after transcatheter aortic-valve replacement (TAVR) as compared with surgical aortic-valve replacement in patients with severe aortic stenosis and intermediate surgical risk. METHODS: We enrolled 2032 intermediate-risk patients with severe, symptomatic aortic stenosis at 57 centers. Patients were stratified according to intended transfemoral or transthoracic access (76.3% and 23.7%, respectively) and were randomly assigned to undergo either TAVR or surgical replacement. Clinical, echocardiographic, and health-status outcomes were followed for 5 years. The primary end point was death from any cause or disabling stroke. RESULTS: At 5 years, there was no significant difference in the incidence of death from any cause or disabling stroke between the TAVR group and the surgery group (47.9% and 43.4%, respectively; hazard ratio, 1.09; 95% confidence interval [CI], 0.95 to 1.25; P = 0.21). Results were similar for the transfemoral-access cohort (44.5% and 42.0%, respectively; hazard ratio, 1.02; 95% CI, 0.87 to 1.20), but the incidence of death or disabling stroke was higher after TAVR than after surgery in the transthoracic-access cohort (59.3% vs. 48.3%; hazard ratio, 1.32; 95% CI, 1.02 to 1.71). At 5 years, more patients in the TAVR group than in the surgery group had at least mild paravalvular aortic regurgitation (33.3% vs. 6.3%). Repeat hospitalizations were more frequent after TAVR than after surgery (33.3% vs. 25.2%), as were aortic-valve reinterventions (3.2% vs. 0.8%). Improvement in health status at 5 years was similar for TAVR and surgery. CONCLUSIONS: Among patients with aortic stenosis who were at intermediate surgical risk, there was no significant difference in the incidence of death or disabling stroke at 5 years after TAVR as compared with surgical aortic-valve replacement. (Funded by Edwards Lifesciences; PARTNER 2 ClinicalTrials.gov number, NCT01314313.).

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Crossref · 10.1056/nejmoa1910555

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Metadata

Authors
Makkar, R. R., Thourani, V. H., Mack, M. J., Kodali, S. K., Kapadia, S., Webb, J. G., Yoon, S.-H., Trento, A., Svensson, L. G., Herrmann, H. C., Szeto, W. Y., Miller, D. C., Satler, L., Cohen, D. J., Dewey, T. M., Babaliaros, V., Williams, M. R., Kereiakes, D. J., Zajarias, A., Greason, K. L., Whisenant, B. K., Hodson, R. W., Brown, D. L., Fearon, W. F., Russo, M. J., Pibarot, P., Hahn, R. T., Jaber, W. A., Rogers, E., Xu, K., Wheeler, J., Alu, M. C., Smith, C. R., & Leon, M. B.
Venue
New England Journal of Medicine
Published
2020-02-27
Volume
382
Issue
9
Pages
799-809
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W3003587193
Cited by
832
References
30
FWCI
71.64
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Five-Year Outcomes of Transcatheter or Surgical Aortic-Valve Replacement. https://app.cochat.ai/papers/10.1056/nejmoa1910555
The paper
Makkar, R. R., Thourani, V. H., Mack, M. J., Kodali, S. K., Kapadia, S., Webb, J. G., Yoon, S.-H., Trento, A., Svensson, L. G., Herrmann, H. C., Szeto, W. Y., Miller, D. C., Satler, L., Cohen, D. J., Dewey, T. M., Babaliaros, V., Williams, M. R., Kereiakes, D. J., Zajarias, A., . . . Leon, M. B. (2020). Five-Year Outcomes of Transcatheter or Surgical Aortic-Valve Replacement. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1910555

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.