Key result
A minimalist and fast-track approach to transcatheter aortic valve implantation simplifies the procedure and reduces hospital length of stay without compromising safety and clinical efficacy.
Why the study?
With expanding indications and increasing procedure numbers, strategies are needed to simplify and optimize TAVI without compromising safety and efficacy.
Does a minimalist and fast-track TAVI approach improve resource utilization without compromising safety and efficacy in patients with symptomatic severe aortic valve stenosis?
Does a minimalist and fast-track TAVI approach improve resource utilization without compromising safety and efficacy in patients with symptomatic severe aortic valve stenosis?
A minimalist and fast-track approach to TAVI can safely reduce hospital length of stay and resource utilization, which is crucial given the expanding indications and aging population.
Supports reduced resource use with minimalist TAVI; leaves open broader adoption pending prospective trials.
Transcatheter aortic valve implantation (TAVI) has become an established therapeutic option for patients with symptomatic, severe aortic valve stenosis. Ageing of the Western and Asian population and expansion of indications for TAVI will lead to a substantial increase in the number of TAVI procedures performed worldwide within the next decades. In line with the maturation of TAVI over the past few years, there has also been a significant simplification and optimisation of the TAVI procedure. A minimalist TAVI procedure and fast-track TAVI course have been shown to have distinct advantages over the more traditional TAVI approach. The aim of this manuscript is to discuss strategies of TAVI simplification and optimization, with special focus on fast-track TAVI, without compromising safety and efficacy.
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Chopra et al. (2018) conducted a review in Severe aortic valve stenosis. Minimalist and fast-track transcatheter aortic valve implantation (TAVI) vs. Traditional TAVI approach was evaluated. A minimalist and fast-track approach to transcatheter aortic valve implantation simplifies the procedure and reduces hospital length of stay without compromising safety and clinical efficacy.
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