The role of geriatric multidimensional assessment in elderly patients with severe aortic stenosis and candidates for transcatheter aortic valve implantation

Severe aortic stenosis (AS) is a prevalent valvular condition among older adults, primarily resulting from the calcification and fibrosis of the aortic valve. Surgical aortic valve replacement and transcatheter aortic valve implantation (TAVI) are the main therapeutic options. TAVI has emerged as the preferred approach for elderly and frail patients deemed unsuitable for conventional surgery. This study highlights the critical role of Comprehensive Geriatric Assessment, including frailty evaluation, in identifying elderly patients best suited for TAVI. Tools such as the Essential Frailty Toolset, Clinical Frailty Scale, and the Multidimensional Prognostic Index have demonstrated efficacy in predicting postoperative mortality and disability. Multidimensional assessments, encompassing functional tests such as the 6-Minute Walking Test, enable enhanced risk stratification and personalized care planning. The findings emphasize the importance of a multidisciplinary approach in optimizing outcomes for geriatric patients with severe AS, focusing on improving clinical results and quality of life.