Percutaneous treatment of severe aortic stenosis, complex CAD superior vs. surgery

A study presented at EuroPCR compared percutaneous intervention with surgical treatment for severe aortic stenosis and complex coronary artery disease (CAD). The trial, called TCW, showed that percutaneous intervention was superior to surgical methods, leading to better outcomes. The trial was stopped early due to significant differences in outcomes. The findings contradict current guideline recommendations, which suggest a surgical approach. The results suggest that a percutaneous approach using FFR-guided PCI and TAVR may be better than surgery for this patient population, but further research is needed to confirm these results.

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