Transcatheter aortic valve implantation in Italy: an uneven growth

European Heart Journal Supplements : Journal of the European Society of Cardiology
Giulia Masiero, Giuseppe Musumeci

Abstract

Transcatheter aortic valve implantation (TAVI) is the treatment of choice in patients with severe symptomatic aortic stenosis who are not suitable for surgery. The procedure has become the preferred strategy in patients at intermediate/high surgical risk with favourable clinical and anatomical characteristics. The collected scientific evidences, as well as the technologic innovations shaping the newer devices, allowed for a progressive reduction of the procedure-related complications as a well as a simplification of the procedure itself, promoting the gradual expansion of the indication for TAVI with the consequent increase in the estimated number of procedures performed each year. There are significant geographic and socio-economic disparities in the use of TAVI around the world and in Italy as well, reflecting an application of the procedure directly related to the economic prosperity of the Health System of the Country examined. The Italian situation, similar to the worldwide reality, reveals an uneven application of the procedure, signalling a disparity in the socio-economic and organizational capabilities of each single region. Standardization of patient selection for treatment, and of the clinical pathway for TAVI are cru...Continue Reading

References

Aug 14, 2015·Journal of the American College of Cardiology·Corrado TamburinoUNKNOWN OBSERVANT Research Group
Dec 8, 2015·The American Journal of Cardiology·Fausto BiancariUNKNOWN OBSERVANT Research Group
May 8, 2016·Circulation. Cardiovascular Interventions·Stefano RosatoUNKNOWN OBSERVANT Research Group
Sep 10, 2017·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Scientific Document Group
Apr 28, 2018·European Heart Journal·Thomas Pilgrim, Stephan Windecker
May 3, 2018·European Heart Journal·T J CahillB D Prendergast
Jul 28, 2018·European Heart Journal·Thomas F Lüscher

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Methods Mentioned

BETA
sedation

Clinical Trials Mentioned

NCT01852552

Software Mentioned

GISE
TAVI

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