Focus on the surgical approach to transcatheter aortic valve implantation: Complications, outcome, and preoperative risk adjustment

Scherner, Maximilian; Madershahian, Navid; Ney, S.; Kuhr, Kathrin; Rosenkranz, Stephan; Rudolph, Tanja K.; Kuhn, Elmar; Slottosch, Ingo; Deppe, A.-C.; Choi, Yeong‐Hoon; Baldus, Stephan; Wahlers, Thorsten

doi:10.1016/j.jtcvs.2015.06.030

Cited by 5 publications

(1 citation statement)

References 27 publications

(26 reference statements)

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“…When a TAVR program is first established, most referrals to the program are from general cardiologists [29]. As the amount of data required to make decisions about patients increases, the role of coordinated care becomes critical and the Heart Team approach must be upheld in order to continue the demonstrated success of TAVR [32,33]. The Heart Team takes into consideration noncardiac mortality and morbidity, the incorporation of a broad understanding of possible outcomes is vital because when complications from TAVR occur they can be sudden, dramatic, and life threatening [34].…”

Section: The Heart Team Approachmentioning

confidence: 99%

Is TAVR Ready for the Global Aging Population?

Bergmann¹,

Sengupta²,

Narula³

2017

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The emergence of the global pandemic of chronic diseases necessitates critical assessment of interventions that can be targeted at both the individual and population levels. Among cardiovascular diseases, the increasing prevalence of valvular heart diseases such as aortic stenosis parallels the rising burden of atherosclerotic cardiovascular diseases. As an alternative to surgical aortic valve replacement, technological innovation has allowed development of minimally invasive transcatheter aortic valve replacement (TAVR). This review examines whether TAVR can be applicable in low-resource regions across the world. Although revolutionary, TAVR is currently complex and requires a "Heart Team" approach for optimized patient care. We propose the emergence of telemedicine networks, newer valve designs that allow implementation of minimal approaches, and the use of minimal numbers of specialists for adapting TAVR to settings where surgical backup is not available. With efforts to reduce resource utilization, these alternate strategies have the potential to affect implementation of TAVR globally.

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Section: The Heart Team Approachmentioning

confidence: 99%

Is TAVR Ready for the Global Aging Population?

Bergmann¹,

Sengupta²,

Narula³

2017

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Using a multidimensional prognostic index (MPI) based on comprehensive geriatric assessment (CGA) to predict mortality in elderly undergoing transcatheter aortic valve implantation

Bureau

Liuu

Christiaens

et al. 2017

International Journal of Cardiology

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Of mice and men and surgical transcatheter aortic valve insertion

Greason

2015

The Journal of Thoracic and Cardiovascular Surgery

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The best-laid schemes of Mice and Men / go oft awry -Robert Burns (1759-1796) 1Readers of the Journal will find interest in article by Scherner and colleagues 2 about transapical and transaortic transcatheter aortic valve insertion. The authors have christened the procedures ''surgical transcatheter aortic valve insertion.'' I like the term and think it is an appropriate moniker. The objectives of the study were as follows: (1) to identify periprocedural complications and their impact on 30-day and 1-year survivals and (2) to develop a risk stratification model of From the Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn. Disclosures: Author has nothing to disclose with regard to commercial support.

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Focus on the surgical approach to transcatheter aortic valve implantation: Complications, outcome, and preoperative risk adjustment

Cited by 5 publications

References 27 publications

Is TAVR Ready for the Global Aging Population?

Is TAVR Ready for the Global Aging Population?

Using a multidimensional prognostic index (MPI) based on comprehensive geriatric assessment (CGA) to predict mortality in elderly undergoing transcatheter aortic valve implantation

Of mice and men and surgical transcatheter aortic valve insertion

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