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How to Make the TAVI Pathway More Efficient.

Didier Tchetche1, Chiara de Biase1, Bruno Brochado1

  • 1Groupe Cardiovasculaire Interventionnel, Clinique Pasteur Toulouse, France.

Interventional Cardiology (London, England)
|March 13, 2019
PubMed
Summary

Optimizing transcatheter aortic valve implantation (TAVI) programs is crucial due to its expanding use. This involves streamlining the entire patient pathway, from initial screening to post-procedure discharge, for improved efficiency.

Keywords:
Early dischargeTAVIefficiencysimplificationtranscatheter aortic valve implantation

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Healthcare Management

Background:

  • Transcatheter aortic valve implantation (TAVI) has been established for 16 years.
  • The utilization of TAVI has seen significant and rapid expansion globally.
  • Increased TAVI adoption necessitates program optimization for sustained efficiency and quality of care.

Purpose of the Study:

  • To elucidate the critical need for enhancing the efficiency of TAVI programs.
  • To outline key strategies for optimizing the TAVI patient journey.
  • To provide guidance on procedural improvements within TAVI programs.

Main Methods:

  • Review of current TAVI program structures and workflows.
  • Analysis of factors influencing TAVI pathway efficiency.
  • Identification of best practices for patient screening, procedural conduct, and early discharge.

Main Results:

  • Clinicians require efficient TAVI pathways to manage increasing patient volumes.
  • Optimization strategies span the entire patient continuum, from pre-procedural assessment to post-procedural care.
  • Procedural efficiency and timely discharge are key components of successful TAVI programs.

Conclusions:

  • Streamlining the TAVI pathway is essential for accommodating program growth.
  • Implementing optimized screening, procedural, and discharge protocols enhances TAVI program efficiency.
  • Continuous improvement of the TAVI pathway ensures effective and timely delivery of care.