Cover Story | Clinical Decision-Making in Aortic Stenosis in Patients With Bicuspid Valves – American College of Cardiology
In the past decade, the U.S. has seen a 25-fold increase in the use of TAVR, with more than 100,000 performed annually. This technique is now employed in approximately 85% of all isolated aortic valve replacements. Despite this growth, there are notable gaps in the evidence. First, around 10% of TAVR procedures are performed on patients with bicuspid aortic valves (BAVs), yet no clinical trial data exist comparing TAVR vs. surgical aortic valve replacement (SAVR). Additionally, the bulk of the evidence