ESC 2025 VHD

2025 ESC/EACTS Guidelines for the management of valvular heart disease

The 2025 ESC/EACTS valvular guideline adopts lifetime management for aortic stenosis and lowers the age threshold at which TAVI becomes a reasonable option to ≥70 years (SAVR favoured below 70, Heart-Team decision in between). It also expands transcatheter mitral and tricuspid options. The register's landmark valve trials are grouped by lesion below.

This guideline cites 10 of the 199 landmark trials in our Cardiology register.

Source
Praz F, Borger MA, et al. Eur Heart J. 2025;46(44):4635–4736. · European Heart Journal

Aortic stenosis — TAVI vs. SAVR5

  • 2024NOTION-2Cardiology · Structural · TAVRNordic Aortic Valve Intervention 2
  • 2019PARTNER 3Cardiology · Structural · TAVRTranscatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients
  • 2019Evolut Low RiskCardiology · Structural · TAVRTranscatheter Aortic-Valve Replacement with a Self-Expanding Valve in Low-Risk Patients
  • 2016PARTNER 2ACardiology · Structural · TAVRPlacement of Aortic Transcatheter Valves 2, Cohort A
  • 2010PARTNER 1BCardiology · Structural · TAVRPlacement of Aortic Transcatheter Valves — cohort B (inoperable)

Asymptomatic severe AS — timing of intervention2

  • 2025EARLY TAVRCardiology · Structural · TAVRTranscatheter Aortic-Valve Replacement for Asymptomatic Severe Aortic Stenosis
  • 2022AVATARCardiology · Structural · early AVRAortic Valve replAcemenT versus conservative treatment in Asymptomatic seveRe aortic stenosis

Mitral regurgitation — transcatheter repair2

  • 2018COAPTCardiology · Structural · MitralCardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy
  • 2018MITRA-FRCardiology · Structural · MitralPercutaneous Repair or Medical Treatment for Secondary Mitral Regurgitation

Tricuspid regurgitation1

  • 2023TRILUMINATECardiology · Structural · TricuspidTranscatheter Repair for Patients with Tricuspid Regurgitation