{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T06:03:55Z","timestamp":1772517835771,"version":"3.50.1"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006520","name":"Edwards Lifesciences","doi-asserted-by":"publisher","award":["SURG-I20-041"],"award-info":[{"award-number":["SURG-I20-041"]}],"id":[{"id":"10.13039\/100006520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluates intermediate-term survival and valve-related complications in patients undergoing minimally invasive surgical aortic valve replacement (MI-SAVR) using rapid-deployment (RD) valves compared with those receiving transfemoral transcatheter aortic valve replacement (TF-TAVR) after propensity-matched analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All consecutive patients treated with either isolated MI-SAVR with an RD valve or TF-TAVR at a single cardiac-surgery centre were retrospectively reviewed. A propensity score was created, and exact matching was applied after the maximum propensity score difference. Nearest-neighbour matching was conducted with a caliper of 0.2 standard deviations of the logit of the propensity score, without replacement and with a 1:1 matching ratio.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From April 2011 to June 2022, 926 patients underwent either isolated MI-SAVR with an RD valve (n\u2009=\u2009400) or TF-TAVR (n\u2009=\u2009526). After propensity score matching, the final cohort (n\u2009=\u2009366) included 183 matched pairs. Operative mortality was 0% after MI-SAVR compared with 3.3% (n\u2009=\u20096) following TF-TAVR (P\u2009=\u2009.03). Perioperative stroke occurred in 2.7% (n\u2009=\u20095, MI-SAVR) vs 2.2% (n\u2009=\u20094, TF-TAVR, P\u2009=\u20091). At 3 years, MI-SAVR was associated with significantly lower rates of paravalvular leakage (2.2% vs 13.8%, P\u2009&amp;lt;\u2009.001), new pacemaker implantations (6.6% vs 14.8%, P\u2009=\u2009.01) and a composite end-point of thromboembolic and major bleeding events (7.2% vs 12.7%, P\u2009=\u2009.025). No difference between aortic valve re-interventions and stroke was identified between groups. Survival at 1- and 3-year follow-up was 98% and 88% (MI-SAVR) and 88% and 67% (TF-TAVR) respectively (P\u2009&amp;lt;\u2009.001). EuroScore II emerged as an independent predictor of mortality (HR 1.12 [1.02, 1.23], P\u2009=\u2009.014).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Minimally invasive SAVR with RD-valves could represent a treatment modality to TF-TAVR for severe AS in an older, low-risk patient cohort. In our retrospective cohort study, MI-SAVR was linked to improved survival and lower rates of permanent pacemaker implantation and paravalvular leakage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag007","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:43:14Z","timestamp":1770986594000},"source":"Crossref","is-referenced-by-count":0,"title":["Transcatheter Versus Minimally Invasive Surgical Aortic Valve Replacement With Rapid-Deployment Valves: A Propensity-Matched Analysis"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0925-6160","authenticated-orcid":false,"given":"Paul","family":"Werner","sequence":"first","affiliation":[{"name":"Department of Cardiac and Thoracic Aortic Surgery, Medical University of Vienna , 1090 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Thoracic Aortic Surgery, Medical University of Vienna , 1090 Vienna,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2818-2227","authenticated-orcid":false,"given":"Alfred","family":"Kocher","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Thoracic Aortic Surgery, Medical University of Vienna , 1090 Vienna,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2185-4895","authenticated-orcid":false,"given":"Daniel","family":"Zimpfer","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Thoracic Aortic Surgery, Medical University of Vienna , 1090 Vienna,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4950-5432","authenticated-orcid":false,"given":"Martin","family":"Andreas","sequence":"additional","affiliation":[{"name":"Department of Cardiac and 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