Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity?
To the Editor, Despite the expansion of transcatheter aortic valve implantation (TAVI) to lower-risk patients, the length of stay after TAVI remains high for an average 8 days according to the Spanish TAVI registry.1 Recently published studies have demonstrated that early discharge following balloon...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Permanyer
2022-05-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=807 |
| _version_ | 1818241148561391616 |
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| author | Lluis Asmarats Xavier Millán Héctor Cubero-Gallego Jonatan Valverde Chi Hion Li Dabit Arzamendi |
| author_facet | Lluis Asmarats Xavier Millán Héctor Cubero-Gallego Jonatan Valverde Chi Hion Li Dabit Arzamendi |
| author_sort | Lluis Asmarats |
| collection | DOAJ |
| description | To the Editor, Despite the expansion of transcatheter aortic valve implantation (TAVI) to lower-risk patients, the length of stay after TAVI remains high for an average 8 days according to the Spanish TAVI registry.1 Recently published studies have demonstrated that early discharge following balloon-expandable transfemoral TAVI is feasible and safe.2,3 The unprecedented demand sustained by the healthcare services during the current COVID-19 pandemic has led to redirecting assets and restricting many cardiovascular procedures to protect the limited resources available like anesthesia support, ventilators, and critical care infrastructures. The present fast-track protocol was developed in response to the COVID-19 pandemic to assess the safety and feasibility of early discharge after minimalist TAVI with either balloon-expandable or self-expanding valves in our setting. Patients undergoing transfemoral TAVI were prospectively recruited. The inclusion criteria in the fast-track pathway were based on the 3M TAVI study: femoral access eligible for percutaneous closure, body mass index < 35, low-risk aortic annulus anatomy (coronary height > 10 mm, tricuspid valve, non-severe left ventricular outflow tract calcification), ejection fraction ≥ 30%, low anticipated risk of advanced conduction disturbances (PR interval < 240 ms, absence of right bundle branch block), familial support within the first 24-48 hours. All procedures were performed... |
| first_indexed | 2024-12-12T13:24:44Z |
| format | Article |
| id | doaj.art-92445dab487c4853b993a9badd113e30 |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-12-12T13:24:44Z |
| publishDate | 2022-05-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-92445dab487c4853b993a9badd113e302022-12-22T00:23:12ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222022-05-014215015210.24875/RECICE.M22000269Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity?Lluis Asmarats0Xavier Millán1Héctor Cubero-Gallego2Jonatan Valverde3Chi Hion Li4Dabit Arzamendi5Departament de Cardiologia, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainDepartament de Cardiologia, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainDepartament de Cardiologia, Hospital del Mar, Barcelona, SpainDepartament de Cardiologia, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainDepartament de Cardiologia, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainDepartament de Cardiologia, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainTo the Editor, Despite the expansion of transcatheter aortic valve implantation (TAVI) to lower-risk patients, the length of stay after TAVI remains high for an average 8 days according to the Spanish TAVI registry.1 Recently published studies have demonstrated that early discharge following balloon-expandable transfemoral TAVI is feasible and safe.2,3 The unprecedented demand sustained by the healthcare services during the current COVID-19 pandemic has led to redirecting assets and restricting many cardiovascular procedures to protect the limited resources available like anesthesia support, ventilators, and critical care infrastructures. The present fast-track protocol was developed in response to the COVID-19 pandemic to assess the safety and feasibility of early discharge after minimalist TAVI with either balloon-expandable or self-expanding valves in our setting. Patients undergoing transfemoral TAVI were prospectively recruited. The inclusion criteria in the fast-track pathway were based on the 3M TAVI study: femoral access eligible for percutaneous closure, body mass index < 35, low-risk aortic annulus anatomy (coronary height > 10 mm, tricuspid valve, non-severe left ventricular outflow tract calcification), ejection fraction ≥ 30%, low anticipated risk of advanced conduction disturbances (PR interval < 240 ms, absence of right bundle branch block), familial support within the first 24-48 hours. All procedures were performed...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=807 |
| spellingShingle | Lluis Asmarats Xavier Millán Héctor Cubero-Gallego Jonatan Valverde Chi Hion Li Dabit Arzamendi Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity? REC: Interventional Cardiology (English Ed.) |
| title | Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity? |
| title_full | Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity? |
| title_fullStr | Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity? |
| title_full_unstemmed | Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity? |
| title_short | Implementing a fast-track TAVI pathway in times of COVID-19: necessity or opportunity? |
| title_sort | implementing a fast track tavi pathway in times of covid 19 necessity or opportunity |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=807 |
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