{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:53:05Z","timestamp":1787237585505,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T00:00:00Z","timestamp":1631232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recent studies suggest the use of transcatheter aortic valve implantation (TAVI) as an alternative to surgical aortic valve replacement (SAVR) in lower risk populations, but real\u2010world data are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Single\u2010center retrospective study of patients undergoing SAVR (between June 2009 and July 2016,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0682 patients) or TAVI (between June 2009 and July 2017,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0400 patients). Low surgical risk was defined as EuroSCORE II (ES II) &lt; 4% for single noncoronary artery bypass graft procedure. TAVI patients were propensity score\u2010matched in a 1:1 ratio with SAVR patients, paired by age, New York Heart Association class, diabetes mellitus, chronic obstructive pulmonary disease, atrial fibrillation, creatinine clearance, and left ventricular ejection fraction &lt;\u200950%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 158 patients (79 SAVR and 79 TAVI) were matched (mean age 79 \u00b1\u20096\u2009years, 79 men). TAVI patients had a higher incidence of permanent pacemaker implantation (0% vs. 19%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and more than mild paravalvular leak (4% vs. 18%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.009), but comparable rates of stroke, major or life\u2010threatening bleeding, emergent cardiac surgery, new\u2010onset atrial fibrillation, and need for renal replacement therapy. Hospital length\u2010of\u2010stay and 30\u2010day mortality were similar. At a median follow\u2010up of 4.5\u2009years (IQR 3.0\u20136.9), treatment strategy did not influence all\u2010cause mortality (HR 1.19, 95% CI 0.77\u20131.83, log rank\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.43) nor rehospitalization (crude subdistribution HR 1.56, 95% CI 0.71\u20133.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.26). ES II remained the only independent predictor of long\u2010term all\u2010cause mortality (adjusted HR 1.40, 95% CI 1.04\u20131.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.029).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this low surgical risk severe aortic stenosis population, we observed similar rates of 30\u2010day and long\u2010term all\u2010cause mortality, despite higher rates of permanent pacemaker implantation and more than mild paravalvular leak in TAVI patients. The results of this small study suggest that both procedures are safe and effective in the short\u2010term, while the Heart Team remains essential to assess both options on the long\u2010term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.29948","type":"journal-article","created":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T11:24:57Z","timestamp":1631273097000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Surgical versus transcatheter aortic valve replacement in low\u2010risk patients: A long\u2010term propensity score\u2010matched analysis"],"prefix":"10.1002","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5614-5880","authenticated-orcid":false,"given":"Catarina","family":"Br\u00edzido","sequence":"first","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcio","family":"Madeira","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9rgio","family":"Madeira","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7952-6878","authenticated-orcid":false,"given":"Rui","family":"Campante Teles","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"},{"name":"CEDOC, Chronic Diseases Research Center NOVA Medical School  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Raposo","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"},{"name":"CEDOC, Chronic Diseases Research Center NOVA Medical School  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrique","family":"Mesquita Gabriel","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago","family":"Nolasco","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"de Ara\u00fajo Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"},{"name":"CEDOC, Chronic Diseases Research Center NOVA Medical School  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Sousa\u2010Uva","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Abecasis","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental  Carnaxide Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"de Sousa 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