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Comment & Response
August 27, 2014

Bioprosthetic Valves for Transcatheter Aortic Valve Replacement—Reply

Author Affiliations
  • 1Heart Center, Segeberger Kliniken, Bad Segeberg, Germany
  • 2Munich University Clinic, Munich, Germany
JAMA. 2014;312(8):845-846. doi:10.1001/jama.2014.8375

In Reply We do not share the concerns of Dr Barbanti and colleagues or of Dr Reardon about the use of angiography as the primary tool for assessment of aortic regurgitation after TAVR in the CHOICE trial. Aortic regurgitation after TAVR is commonly paravalvular. These paravalvular jets are usually eccentric with crescentic, irregular orifices and may become entrained along the left ventricular wall, altering their appearance and the perception of severity, particularly with echocardiography.