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ACCF/AATS/SCAI/STS release consensus document to help guide use of minimally invasive heart therapy
Date:1/31/2012

d and how to appropriately select patients to optimize clinical outcomes and encourage responsible application of this promising technology.

TAVR, which was approved by the FDA in November 2011, represents a fundamental change in the management of aortic valvular heart disease by offering an alternative to traditional surgical aortic valve replacement in carefully selected patients, according to the writing committee. Its implementation into the flow of patient care is complex, and involves consideration of several key factors such as clinical site selection, operator and team training and experience, patient selection and evaluation, procedural performance and complication management, and post-procedural care. Therefore, guidance is urgently needed to ensure it is smoothly integrated into clinical practice and followed to achieve real-world benefits and minimize risks to patients.

"Our goal in crafting this expert consensus document is to provide a clear roadmap for the use of TAVR as it reaches patients across the United States," said Michael J. Mack MD, president of STS and vice chair of the writing committee. "TAVR innovation is a major advance in treating aortic stenosis and sick, elderly patients should have access to this new treatment so they can resume normal, active lives. These guidelines are a coordinated effort from the cardiovascular community to help ensure the appropriate use of TAVR therapy for optimum patient safety."

The consensus document, which is endorsed by a dozen leading medical groups, outlines key recommendations for the success roll out of this therapy. Among others, these recommendations provide detailed criteria on:

  • Careful patient selection
  • Team-based approach given the complexity of procedure coupled with the high-risk profile of suitable patients, many of whom have extensive comorbid conditions that require ongoing management
  • Specialized heart centers and physician expertise in
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Contact: Amanda Jekowsky
ajekowsk@acc.org
202-375-6645
American College of Cardiology
Source:Eurekalert

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