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  • Editorial: Early Discharge After Transcatheter Aortic Valve Implantation: Then What?

    Transcatheter aortic valve implantation (TAVI) is now well recognized by the medical community as an effective and safe option for symptomatic patients with severe aortic stenosis  , especially when a femoral approach is available. In-hospital follow-up after the TAVI procedure allows early complications to be detected. At the present time, none of the American  or European  guidelines specify a length of hospital stay after TAVI. Several studies advocated that early discharge home (within 3 days) is feasible and safe, since onset of post-procedural complications decreases after 3 days, whereas unduly long hospital stay exposes patients to potential iatrogenic risk and increases costs  . To ease the transition from hospital to home and reduce readmission rates, especially due to complications and/or loss of autonomy, various models of transitional care have been developed.

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