Subgroup considerations
| Scenarios favouring SAVR | Scenarios favouring TAVI |
| Unfavourable anatomy for TAVI | Older age |
| Unsuitable for transfemoral access | High or moderate risk for surgery |
| Presence of concomitant valvular disease with surgical indication | Prior sternotomy or SAVR |
| Multivessel coronary artery disease | Frailty |
| Patients placing a higher value on bioprosthetic valve durability or pacemaker risk | Patients placing a higher value on lower procedural morbidity and rapid recovery |
SAVR, surgical aortic valve replacement; TAVI, transcatheter aortic valve implant.