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Updated: Jun 6, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Interventional valve surgery: building a team and working together.
Marc Ruel1, Sean Dickie, Benjamin J W Chow
1Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. mruel@ottawaheart.ca
Transcatheter aortic valve implantation (TAVI) offers a new treatment for aortic stenosis, especially for elderly patients. A collaborative team approach is crucial for successful TAVI implementation and improved patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Aortic valve stenosis (AS) is a significant cardiovascular condition.
- Surgical aortic valve replacement (SAVR) is effective but carries risks.
- Transcatheter aortic valve implantation (TAVI) presents a less invasive alternative, particularly for high-risk patients.
Purpose of the Study:
- To discuss the procedural technique of TAVI.
- To highlight the importance of a multidisciplinary team approach in TAVI.
- To advocate for a team-based adoption of TAVI technologies.
Main Methods:
- Review of TAVI procedural techniques.
- Analysis of cardiologist and cardiac surgeon roles and team dynamics.
- Discussion on the integration of TAVI into clinical practice.
Main Results:
- TAVI is a viable option for managing aortic stenosis, especially in elderly and high-risk populations.
- A collaborative team approach is essential for successful TAVI implementation.
- Evidence-based and health economics data are still evolving for TAVI.
Conclusions:
- TAVI represents a significant advancement in treating aortic valve stenosis.
- A judicious, team-based adoption of TAVI is recommended.
- Team collaboration can lead to improved outcomes and better definition of TAVI's therapeutic niche.
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