Recent Developments in Catheter-based Cardiac Procedures.

Since the first transcatheter aortic valve implantation in 2002, catheter-based cardiac procedures have increased significantly. This review provides an overview of CE approved devices, updated guidelines, and the key clinical findings for TAVR as well as for AV Valve interventions. Recent studies compare balloon-expanding and self-expanding valves, highlighting differences in prosthesis mismatch and paravalvular leaks. Long-term trials confirm TAVR's efficacy, especially in low-risk patients. Challenges include paravalvular regurgitation, vascular complications, and coronary obstruction, with innovations like the BASILICA procedure addressing risks. Local anesthesia in TAVR shows benefits over general anesthesia. As TAVR expands to younger patients, optimizing management pathways and addressing complications remain critical for improved outcomes.