Evolution of a TAVR Program

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Transcatheter aortic valve replacement (TAVR) is increasingly adopted for high- and intermediate-risk patients with severe aortic valve stenosis.
• Aortic valve replacement is a critical procedure for managing severe symptomatic aortic valve stenosis.

Purpose of the Study:

• To evaluate the efficacy and sustainability of a dedicated Transcatheter Aortic Valve Replacement (TAVR) program.
• To highlight the importance of efficient patient screening and care delivery processes in TAVR programs.

Main Methods:

• Retrospective review of 1850 patients evaluated for severe aortic valve stenosis.
• Analysis of over 900 Transcatheter Aortic Valve Replacement (TAVR) procedures performed between May 2012 and April 2018.
• Assessment of screening processes, data review, and care delivery for TAVR.

Main Results:

• The TAVR program at Allegheny General Hospital demonstrated viability and sustainability.
• Efficient processes contributed to successful TAVR procedures and positive patient outcomes.
• Over 900 TAVR procedures were successfully performed.

Conclusions:

• An efficient and dedicated process for patient evaluation and care delivery is crucial for TAVR program success.
• Continuous reevaluation for leaner processes enhances TAVR efficacy and patient outcomes.
• TAVR is a sustainable and effective treatment option for severe symptomatic aortic valve stenosis.