Ambulatory TAVR: Early Feasibility Experience During the COVID-19 Pandemic.

CJC Open

Cardiology Department, Médipole HP Lyon-Villeurbane, Villeurbane, France.

Published: November 2020

AI Article Synopsis

  • The COVID-19 pandemic has led to treatment delays for aortic stenosis patients, potentially increasing mortality rates.
  • This clinical case series discusses three patients who successfully underwent ambulatory transcatheter aortic valve replacement (TAVR) using a careful selection process and minimalist techniques.
  • The ambulatory TAVR approach minimizes the impact of wait times and reduces risks associated with virus exposure and hospital resource use during the pandemic, with no complications noted in a 30-day follow-up.

Article Abstract

The COVID-19 pandemic has modified practice for patients with symptomatic aortic stenosis and could result in higher mortality rates due to treatment delays. In this clinical case series, 3 patients underwent ambulatory transcatheter aortic valve replacement (TAVR) thanks to patient and entourage willingness, careful patient selection (including a history of permanent pacemaker placement), and a minimalist procedural approach. No complications occurred during the 30-day follow-up. Performing ambulatory TAVR could reduce the clinical consequences of wait times, minimize exposure to coronavirus contamination, and reduce the use of hospital resources that might be needed for COVID-19 patients. Thanks to a scrupulous minimalist TAVR protocol, ambulatory outpatient management of aortic stenosis was possible in the context of the COVID-19 pandemic.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7442149PMC
http://dx.doi.org/10.1016/j.cjco.2020.08.005DOI Listing

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