Infective endocarditis after isolated aortic valve replacement: comparison between catheter-interventional and surgical valve replacement

ConclusionTAVI patients did not have a significantly higher risk to develop PVE. Our data suggest that TAVI-PVE patients in contrast to SAVR-PVE patients can more often be treated with antibiotics only, presumably due to the lack of a polymeric suture ring.Graphical abstractKey question:What are the differences between SAVR- and TAVI-PVE?Are the current ESC guidelines for the treatment of SAVR-PVE also applicable to TAVI-PVE?Key finding:No significantly different PVE incidences after SAVR and TAVISignificantly better one-year survival and significantly longer survival in TAVI-PVE treated with antibiotics only compared with additional surgical therapyHigher risk to develop PVE after TAVI in patients carrying prostheses containing polymer particlesTake-home messageTAVI-PVE can often be treated successfully with antibiotics-only, even if surgery would have been indicated according to current guidelines.SAVR-PVE patients benefit from surgical therapy, so guideline-compliant surgical indication should be made promptly and performed immediately
Source: Clinical Research in Cardiology - Category: Cardiology Source Type: research