Why the study?
Does a simplified or minimalist approach to TAVI maintain safety and efficacy compared to a traditional approach in selected patients with severe symptomatic aortic stenosis?
Does a simplified or minimalist approach to TAVI maintain safety and efficacy compared to a traditional approach in selected patients with severe symptomatic aortic stenosis?
A simplified or minimalist approach to TAVI is becoming routine in experienced centers and is considered as safe and effective as traditional TAVI for selected patients.
Simplified TAVI may be feasible in experienced centres; leaves open need for RCTs before wider adoption.
In recent years, transcatheter aortic valve implantation (TAVI) has been demonstrated to be at least as effective as surgical aortic valve replacement in high-risk patients with severe symptomatic aortic stenosis. Today, the procedure is highly standardised and reproducible, and one of the most debated issues is whether TAVI is ready to be simplified. In experienced centres, a simplified or minimalist approach to TAVI is already routine and it has been shown to be as safe and effective as the more traditional approach in selected patients.
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Barbanti et al. (2015) studied this question.
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