Recs provided for transcatheter aortic valve replacement

January 6, 2017

(HealthDay)—In a clinical expert consensus report published online Jan. 4 in the Journal of the American College of Cardiology, a series of practice point-of-care checklists help provide guidance on the use of transcatheter aortic valve replacement (TAVR).

Noting that TAVR is a new technology for with severe aortic valvular stenosis, and is currently approved for high surgical risk or inoperable patients, Catherine M. Otto, M.D., from the University of Washington in Seattle, and colleagues offer guidance on its use.

The authors present point-of-care checklists and algorithms. These are provided in four specific areas: (1) preprocedure evaluation of patients being considered for TAVR, including selection criteria, discussion of shared decision making, and consideration of other risk assessments; (2) imaging modalities and measurements, including which modalities are required and when; (3) key issues in TAVR performance and management of complications; and (4) recommendations for patient follow-up, including immediate post-procedure care and longer-term follow-up to ensure continuity of care.

"TAVR is one of the most rapidly expanding technologies in medical care today, and as our population ages, we will see increasing numbers of people with severe , so it is important to provide on optimal use of this treatment," Otto said in a statement.

Several authors disclosed financial ties to the pharmaceutical industry.

Explore further: Late mortality mainly noncardiac for TAVR patients

More information: Full Text (subscription or payment may be required)

Related Stories

Late mortality mainly noncardiac for TAVR patients

October 12, 2016
(HealthDay)—For high-risk patients with severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR), late mortality is mainly related to noncardiac causes, according to research published in the Oct. ...

Improved cognitive status seen following TAVR

November 29, 2016
(HealthDay)—Transcatheter aortic valve replacement (TAVR) is associated with global improvement in cognitive status, according to a study published in the Nov. 15 issue of the Journal of the American College of Cardiology.

Results of PARTNER II QUALITY OF LIFE study presented

November 1, 2016
Patients with severe aortic stenosis (AS) at intermediate surgical risk, and who are treated with transcatheter aortic valve replacement (TAVR) had improved health status at one month compared with surgical aortic valve replacement ...

One-third of patients with low flow aortic stenosis do not improve with transcatheter aortic valve replacement

June 15, 2016
Aortic stenosis (AS), the narrowing of the aortic valve in the heart which causes restricted blood flow, is one of the most common and serious valve disease problems. For patients with one type of AS - low flow - transcatheter ...

Model developed to help predict risk of in-hospital death after TAVR

March 9, 2016
In a study published online by JAMA Cardiology, Fred H. Edwards, M.D., of the University of Florida College of Medicine-Jacksonville, and colleagues developed a statistical model to predict risk of in-hospital death after ...

Risk factors and clinical outcomes of infective endocarditis after transcatheter aortic valve replacement

September 13, 2016
Among patients undergoing transcatheter aortic valve replacement, younger age, male sex, history of diabetes mellitus, and moderate to severe residual aortic regurgitation were significantly associated with an increased risk ...

Recommended for you

Could aggressive blood pressure treatments lead to kidney damage?

July 18, 2017
Aggressive combination treatments for high blood pressure that are intended to protect the kidneys may actually be damaging the organs, new research from the University of Virginia School of Medicine suggests.

Quantifying effectiveness of treatment for irregular heartbeat

July 17, 2017
In a small proof-of-concept study, researchers at Johns Hopkins report a complex mathematical method to measure electrical communications within the heart can successfully predict the effectiveness of catheter ablation, the ...

Concerns over side effects of statins stopping stroke survivors taking medication

July 17, 2017
Negative media coverage of the side effects associated with taking statins, and patients' own experiences of taking the drugs, are among the reasons cited by stroke survivors and their carers for stopping taking potentially ...

Study discovers anticoagulant drugs are being prescribed against safety advice

July 17, 2017
A study by researchers at the University of Birmingham has shown that GPs are prescribing anticoagulants to patients with an irregular heartbeat against official safety advice.

Protein may protect against heart attack

July 14, 2017
DDK3 could be used as a new therapy to stop the build-up of fatty material inside the arteries

Heart study finds faulty link between biomarkers and clinical outcomes

July 14, 2017
Surrogate endpoints (biomarkers), which are routinely used in clinical research to test new drugs, should not be trusted as the ultimate measure to approve new health interventions in cardiovascular medicine, according to ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.