Appropriate patient screening and selection, along with a multidisciplinary approach, are fundamental for the prevention and management of procedural complications associated with TAVI.
A multidisciplinary approach and careful patient selection are crucial for optimizing outcomes and managing complications in elderly patients undergoing TAVI.
Assessment of elderly patients with severe aortic stenosis and decisions in terms of management strategy (conservative with or without balloon aortic valvuloplasty, transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement) are complex and warrant a multidisciplinary approach involving collaboration between experienced cardiac surgeons, interventional cardiologists, cardiac imaging specialists, anaesthesiologists, geriatricians and a specialised nursing staff. Patient history, comorbid conditions, perioperative risk stratification as well as anatomical and procedural considerations require careful review on an individual, case-by-case basis and have a major impact on treatment allocation. The aims of this article are to provide insights into the fundamental role of appropriate patient screening and selection, and to review the nature, management and prevention of the most important procedural complications associated with the TAVI procedure.
Stortecky et al. (Thu,) conducted a review in Severe aortic stenosis. Transcatheter aortic valve implantation (TAVI) was evaluated. Appropriate patient screening and selection, along with a multidisciplinary approach, are fundamental for the prevention and management of procedural complications associated with TAVI.