Why the study?
Patients with severe symptomatic aortic stenosis have poor prognosis with medical management alone, and TAVI has emerged as an alternative to surgical valve replacement in high-risk or inoperable patients.
This Polish expert consensus outlines the organizational and procedural requirements for establishing and running a successful TAVI program, emphasizing the necessity of a multidisciplinary Heart Team.
Answers are grounded in this paper and cite their sources.
Establishes national TAVI program standards in Poland with Heart Team mandates; extends European consensus to local implementation.
Patients with severe symptomatic aortic stenosis have a poor prognosis with medical management alone, and surgical aortic valve replacement can improve symptoms and survival. In recent years, transcatheter aortic valve implantation (TAVI) has been demonstrated to improve survival in inoperable patients and to be an alternative treatment in patients in whom the risk of surgical morbidity or mortality is high or intermediate. A representative expert committee, summoned by the Association of Cardiovascular Interventions of the Polish Cardiac Society (ACVI) and the Polish Society of Cardio-Thoracic Surgeons, devel-oped this Consensus Statement in transcatheter aortic valve implantation. It endorses the important role of a multi-disciplinary "TAVI team" in selecting patients for TAVI and defines operator and institutional requirements fundamental to the establish-ment of a successful TAVI programme. The article summarises current evidence and provides specific recommendations on organisation and conduct of transcatheter treatment of patients with aortic valve disease in Poland.
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Parma et al. (2017) conducted a review in Severe symptomatic aortic stenosis. Transcatheter aortic valve implantation (TAVI) was evaluated. An expert committee developed a consensus statement summarizing current evidence and providing specific recommendations on the organization and conduct of transcatheter aortic valve implantation in Poland.
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