Key result
Implementing a high-risk TAVI program yields 0 procedural deaths and low early mortality.
Why the study?
The introduction of TAVI has revolutionized management of aortic valve disease in elderly and high-risk patients, but experiences and results have varied widely, highlighting the need for insight into successful program implementation.
A multidisciplinary heart team approach can facilitate the successful implementation of a TAVI program with excellent early safety outcomes.
May inform new TAVI program development in experienced centers; leaves open generalizability and need for larger validation.
The introduction of transcatheter aortic valve implantation (TAVI) has revolutionized the management of aortic valve disease in the elderly and high-risk population. Experiences and results around the World have varied widely and the importance of a multidisciplinary and cohesive heart team is mandatory in this challenging group of patients. Our Unit started a TAVI program (Edwards Sapien trans-femoral and trans-apical) some three years ago. We have now performed 70 procedures, with no procedural deaths and only three thirty day deaths, none of which were cardiac related. Some of this was good luck, but a lot of it was good management and a credit to the wider team involved. The aim of this paper is to offer some insight into the successful implementation of a TAVI program into the treatment armamentarium of a cardiovascular unit.
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Vallely et al. (2012) studied Aortic valve disease (n=70). Transcatheter aortic valve implantation (TAVI) was evaluated on Procedural deaths and 30-day deaths. Implementation of a TAVI program in 70 high-risk patients resulted in 0 procedural deaths and a 4.3% 30-day non-cardiac mortality rate.
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