Outcome Factors for Women Undergoing Transcatheter Aortic Valve Replacement

Interv Cardiol Clin. 2025 Jan;14(1):117-125. doi: 10.1016/j.iccl.2024.08.009. Epub 2024 Oct 3.

Abstract

Women with severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR) have a higher burden of symptoms, are older at the time of the TAVR procedure, and have unique anatomic features that increase the periprocedural risk. However, long-term outcomes including mortality are favorable for women compared with men. Careful attention is needed in considering the vascular access route and choice of valve platform to mitigate complications. Large prospective trials dedicated to women undergoing TAVR are needed to investigate individual female-specific factors determining outcomes.

Keywords: Female; Gender differences; Outcomes; TAVR; Women.

Publication types

  • Review

MeSH terms

  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / surgery
  • Female
  • Humans
  • Postoperative Complications / epidemiology
  • Postoperative Complications / prevention & control
  • Risk Factors
  • Sex Factors
  • Transcatheter Aortic Valve Replacement* / methods
  • Treatment Outcome