Key result
Simplified clinical algorithm guides surgical AVR decisions to navigate current guidelines and technologies.
Why the study?
Recent advances in tissue engineering and aortic valve delivery systems have changed surgical indications and approaches, requiring an integrated decision-making approach to navigate clinical scenarios and guidelines.
A simplified clinical decision-making algorithm is proposed to assist Heart Teams in integrating new technologies with current guidelines for aortic valve replacement.
Over the last twenty years, we marked significant progresses in the field of tissue engineering and the development of new aortic valve structural and delivery systems. These continuous iterations on the field, have completely changed the surgical indications and approaches for AVR. Nowadays, therapeutic decisions are endorsed by international guidelines; however, new technical advances need a new integrated approach. The clinical scenarios issued from the interaction between the Guidelines and the newest approaches and technologies are regularly on debate by the Heart Team. We will present some of our most encountered situations and the pattern of our therapeutic decisions. To easily navigate through Guidelines and clinical scenarios, we reported in this review a simplified and easy to use Clinical decision-making algorithm that may be a valuable tool in our daily practice.
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Geicu et al. (2021) conducted a review in Aortic Stenosis. Surgical approach for aortic valve replacement (AVR) was evaluated. A simplified clinical decision-making algorithm for surgical approaches to aortic valve replacement was developed to help navigate current guidelines and new technologies in daily practice.
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