Simplified TAVR Procedure: How Far Is It Possible to Go?

Area of Science:

• Cardiology
• Interventional Cardiology
• Medical Technology

Background:

• Transcatheter aortic valve replacement (TAVR) has evolved significantly.
• Improvements in operator experience and technique have reduced complications in low-risk patients.

Purpose of the Study:

• To evaluate the benefits and limitations of the simplified TAVR procedure.
• To provide a current and future perspective on minimalist TAVR strategies.

Main Methods:

• Review of current practices in simplified TAVR.
• Analysis of procedural elements including local anesthesia, percutaneous femoral access, and early discharge.

Main Results:

• Simplified TAVR has become a routine approach, revolutionizing the procedure.
• Key elements include local anesthesia, percutaneous femoral approach, and implantation without predilatation.

Conclusions:

• Rigorous patient selection is crucial for the safety of minimalist TAVR.
• A dogmatic approach should be avoided; careful pre-, per-, and post-procedural evaluation is vital for optimal patient care.