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Updated: Dec 27, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Transcatheter valve interventions: playground for cardiologists or cardiac surgeons? The cardiologist's view
Antonio Colombo1, Neil Ruparelia
1San Raffaele Scientific Institute, Milan, Italy.
Insights
Transcatheter valve interventions are transforming cardiac care, shifting management to cardiologists. This evolution fosters collaboration within Heart Teams for optimal patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Historically, cardiac surgery was the sole interventional option for valve pathology.
- The advent of transcatheter valve interventions has significantly altered patient management paradigms.
Purpose of the Study:
- To highlight the evolving role of cardiologists in managing valve pathology.
- To emphasize the importance of multidisciplinary Heart Teams in contemporary cardiovascular care.
Main Methods:
- Review of the impact of transcatheter valve interventions on clinical practice.
- Analysis of the collaborative dynamics between cardiologists and cardiac surgeons.
Main Results:
- Transcatheter interventions have positioned cardiologists at the forefront of valve disease management.
- Improved collaboration has led to the formation of integrated Heart Teams.
Conclusions:
- Cardiologists, equipped with relevant skills, are ideally suited to lead multidisciplinary teams for valve interventions.
- This collaborative approach aims to optimize patient outcomes in valve disease management.
Abstract:
Historically, the only interventional management option for valve pathology was cardiac surgery. However, the rapid evolution of transcatheter valve interventions has catapulted cardiologists into a central role in the management of these patients. A welcome consequence of this rapid change in the landscape has been the fostering of new and improved relationships between cardiologists and cardiac surgeons and the formulation of "Heart Teams" to facilitate patient management. We believe that the cardiologist, who already utilises many of the clinical and procedural skills required to manage this complex group of patients, is optimally placed to be the central figure within the multidisciplinary team, and to deliver these treatments with the ultimate aim of achieving the best possible patient outcomes.
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