Why the study?
To identify key steps in pre-procedural planning and clinical diagnostic evaluation to further decrease post-operative complications following TAVI in elderly patients with severe aortic stenosis.
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Careful pre-procedural planning and patient selection by a Heart Team are essential to minimize post-operative complications in TAVI.
Transcatheter aortic valve implantation (TAVI) is a therapeutic option widely used for the treatment of severe aortic stenosis in the elderly. Careful pre-procedural screening, operator experience, and technological innovations, accounted for a safe, reliable, and standardized procedure. To further decrease post-operative complications, few steps are important: careful planning of the procedure by the Heart Team, clinical and diagnostic evaluation including electrocardiogram, echography, and computed tomography of the heart and great vessels. This approach will allow a selection of ideal candidates for the procedure, the best vascular approach, the selection of patients candidates for early discharge, and last but not least, simplification of the TAVI procedure. Although the procedure is reaching the 'simplicity' of coronary interventions, it should always be kept in mind the possibility, albeit remote, that life-threatening complication could ensue, requiring the prompt intervention of the cardiovascular surgeon.
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Tamburino et al. (2020) studied this question.
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