In this video, you will understand the long-term outcome of the randomized NOTION trial comparing TAVI and SAVR in low risk patients.

LEARNING OBJECTIVES

• Appreciate how supra-annular valve position can impact on long-term valve durability
• Recognise the importance of transvalvular gradients and opening area on valve performance and structural valve deterioration
• Understand the difference between various interpretations of structural valve deterioration
  (SVD vs. modified SVD vs. bioprosthetic valve failure)

AGENDA

Introduction:
Introduction and Objectives

Presentation:
Long-term follow-up after TAVI versus SAVR in patients at lower surgical risk –

The NOTION trial
Trial objectives
Patient demographics
Outcome data (mortality, combined endpoint, hemodynamics)
SVD, modified SVD and bioprosthetic failure
Conclusions

Discussion Point 1: Impact of supra-annular valve position on long-term valve performance
Discussion Point 2: Differences in SVD, modified SVD, biprosthetic valve failure
Discussion Point 3: Impact of patient prosthesis mismatch on surgical outcome / bioprosthetic valve sizes
Discussion Point 4: Surgical view on long-term NOTION data, differences between supra-annular and intra-annular devices