• An Optimized Approach for Transfemoral Transcatheter Aortic Valve Implantation: A Comprehensive Review and Current Evidence

    Highlights

    • Relevance of a streamlined procedure with appropriate optimization in TAVI
    • The safety of more simplified strategy of TAVI in contemporary clinical practice
    • Patient selection remains paramount for simplification of TAVI.

    Abstract

    Device iterations and technical refinements have enabled transcatheter aortic valve implantation (TAVI) to be offered as a routine interventional procedure in many centers with high reproducibility and success. The concept of a streamlined procedure with appropriate procedural optimization, namely “optimized approach,” has become increasingly relevant, aimed at minimizing perioperative burden and promoting early recovery. Relatively high device costs may be mitigated by reducing length of hospital stay and resource utilization. This review summarizes current evidence of components related to the optimization process during transfemoral TAVI. It is important to customize the procedure specific to each patient for its optimization.

    Source:

    View full article: https://doi.org/10.1016/j.carrev.2019.12.032

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