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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Job matters: differences in risk assessment of percutaneous aortic valve replacement between cardiologists and

Thomas Grebel1, Julia Schumm

  • 1Departments of Economics and Internal Medicine I, Friedrich-Schiller-University, Jena, Germany.

Circulation. Cardiovascular Quality and Outcomes
|December 25, 2009
PubMed

Insights

Cardiologists and cardiac surgeons have differing views on percutaneous aortic valve replacement (PAVR). While both groups acknowledge risks and benefits, cardiologists perceive PAVR advantages more optimistically than surgeons.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Interventional Cardiology

Background:

  • Percutaneous aortic valve replacement (PAVR) offers an alternative to traditional operative valve replacement for aortic stenosis.
  • The efficacy and safety of various PAVR devices are under continuous evaluation.
  • Collaboration between cardiologists and cardiac surgeons is essential for assessing PAVR.

Purpose of the Study:

  • To compare how cardiologists and cardiac surgeons assess the risks and benefits of PAVR.
  • To identify significant differences in the judgments between these two medical groups.

Main Methods:

  • An online questionnaire was administered to 51 cardiologists and 54 cardiac surgeons in Germany.
  • The questionnaire included 11 questions focusing on the risks and benefits associated with PAVR.
  • Statistical analysis, including regression analysis, was used to compare responses and identify influencing factors.

Main Results:

  • Significant differences were observed in the responses of cardiologists and cardiac surgeons regarding PAVR.
  • Cardiologists rated risks such as hemodynamic compromise, paravalvular leakage, and embolic events lower than cardiac surgeons.
  • Cardiologists reported a significantly higher perceived advantage of PAVR, independent of personal experience.

Conclusions:

  • Cardiologists and cardiac surgeons concur on the potential risks and benefits of PAVR, but with differing degrees of emphasis.
  • Cardiologists exhibit a more optimistic outlook towards PAVR, leaning towards an interventional approach.
  • Enhanced, evidence-based information may be crucial in mitigating group-specific biases regarding PAVR.
Abstract

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