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Minimalist Transcatheter Aortic Valve Replacement: The Right Pathway Forward?
Janarthanan Sathananthan1, Sandra Lauck1, John G Webb1
1Centre for Heart Valve Innovation, St. Paul's and Vancouver General Hospitals, University of British Columbia, 5258-1081 Burrard Street, Vancouver, BC V6Z1Y6, Canada.
Interventional Cardiology Clinics
|October 3, 2018
Summary
Minimalist transcatheter aortic valve replacement (TAVR) offers comparable patient outcomes. Careful patient selection is crucial, as this streamlined approach may not suit all individuals undergoing TAVR.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Transcatheter aortic valve replacement (TAVR) is a key treatment for aortic stenosis.
- Traditional TAVR involves extensive preprocedural workup and procedural steps.
Purpose of the Study:
- To evaluate the feasibility and outcomes of a minimalist approach to TAVR.
- To identify patient selection criteria for minimalist TAVR.
Main Methods:
- Review of current TAVR practices and literature on minimalist approaches.
- Emphasis on heart team decision-making for patient suitability.
- Focus on streamlining the entire care process, not just the procedure.
Main Results:
- Minimalist TAVR can be performed without compromising patient outcomes.
- Patient selection is paramount to identify suitable candidates.
- A holistic, patient-centered approach is essential.
Conclusions:
- Minimalist TAVR is a viable and safe option for many patients.
- Streamlining preprocedural workup offers benefits to patients and healthcare systems.
- Prioritizing patient safety and individual needs is critical for successful implementation.
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