Optimization of TAVI therapy through procedural simplification and early discharge is safe in most patients, requiring a multidisciplinary heart team approach for real-world implementation.
Optimization and simplification of TAVI procedures, including early discharge and multidisciplinary heart team approaches, are safe and feasible in real-world practice.
INTRODUCTION: Transcatheter aortic valve implantation (TAVI) is now a widely adopted therapy for the treatment of elderly patients with severe aortic stenosis. Improved pre-procedural screening, increased operators' experience and technology advancement have made this technique highly reliable and standardized. Areas covered: The purpose of this review article is to provide an overview of the strategies that can be adopted to optimize the TAVI procedure (pre-interventional work-up and procedural simplification and early discharge). Expert commentary: Optimization of TAVI therapy is already a reality and has shown to be safe in most patients, but its penetration has to face with real-world practice. The adoption of a minimalistic and optimized approach requires integration of multidisciplinary competences and an extended, dynamic conception of heart team, which also includes patients' families, referring cardiologist and general practitioners.
Barbanti et al. (Tue,) conducted a review in Severe aortic stenosis. Optimization of TAVI procedure (pre-interventional work-up, procedural simplification, early discharge) was evaluated. Optimization of TAVI therapy through procedural simplification and early discharge is safe in most patients, requiring a multidisciplinary heart team approach for real-world implementation.