[unsrsly]

Disclaimer: this is not medical advice.

-The severity of aortic stenosis determines whether any intervention is indicated. Only a cardiologist or cardiac surgeon can reliably make this determination.

-The aortic stenosis procedure with the strongest evidence base is transcatheter aortic valve replacement, or TAVR. See the PARTNER 3 trial, https://www.nejm.org/doi/full/10.1056/NEJMoa1814052

-Bear in mind that only a cardiologist or cardiac surgeon can apply the available evidence to a patient and make a recommendation. In some cases of severe aortic stenosis, despite the PARTNER trials, an open surgical valve repair is still a better option. Only a cardiac surgeon can decide this after reviewing all of a patient's information.

-The evidence base for other interventions is weak. These options should probably not be considered outside of the context of a clinical trial. You can look for clinical trials here: https://clinicaltrials.gov/ct2/home

-Echoing other commenters, you should know that any procedure on the aortic valve has a risk of stroke. This would include any procedure that removes calcifications and possibly releases them into the blood. Only an interventional cardiologist or cardiac surgeon is qualified to discuss these risks in detail.

[ulnmd785]

Thanks for the information and for trials link