title: [Aortic valve replacement in the elderly].
abstract: The treatment of severe symptomatic aortic valve stenosis by conventional aortic valve replacement (AVR) or by transcatheter aortic valve implantation (TAVI) has a good perinterventional prognosis even for patients of advanced age. Having a heart team select the best management strategies based on current guidelines for each individual patient is essential for success. Especially in elderly and increasingly multimorbid patients with sometimes severe preconditions, the detection of functional deficits is relevant not only for the mortality but also for perioperative and postoperative complications as well as the functional outcome. Various methods of geriatric assessment are important supplements to standard risk scores. The aim is to implement targeted interventions to minimize the risk factors and to improve the prognosis for elderly patients. The aim of this article is to provide an overview of the current therapy options for aortic valve replacement and to summarize current aspects of treatment options for elderly patients.
authors: Klinik für Herzchirurgie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Breslauer Str. 201, 90471, Nürnberg, Deutschland. ferdinand.vogt@klinikum-nuernberg.de.
authors: F
authors: F
authors: Vogt
authors: Medizinische Klinik 2, Schwerpunkt Geriatrie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.
authors: S
authors: S
authors: Wicklein
authors: Medizinische Klinik 2, Schwerpunkt Geriatrie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.|Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.
authors: K
authors: K
authors: Singler
authors: Klinik für Herzchirurgie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Breslauer Str. 201, 90471, Nürnberg, Deutschland.
authors: S
authors: S
authors: Pfeiffer
authors: Klinik für Herzchirurgie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Breslauer Str. 201, 90471, Nürnberg, Deutschland.
authors: T
authors: T
authors: Fischlein
authors: Medizinische Klinik 8, Schwerpunkt Kardiologie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.
authors: J
authors: J
authors: Schwab
authors: Medizinische Klinik 8, Schwerpunkt Kardiologie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.
authors: M
authors: M
authors: Pauschinger
authors: Medizinische Klinik 8, Schwerpunkt Kardiologie, Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.
authors: J
authors: J
authors: Jessl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis* / Q000601:surgery*; D019317:Evidence-Based Medicine; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D019990:Perioperative Care / Q000379:methods*; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods* / Q000534:rehabilitation*; D016896:Treatment Outcome
keywords: Aortic valve stenosis; Frailty; Geriatric assessment; Heart team; Transcatheter aortic valve implantation