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In the fourth instalment of the TAVI Talk podcast series Interventional Cardiologists Dr. Sagar Doshi from The Queen Elizabeth Hospital, Birmingham and Dr. Charis Costopoulos from Royal Papworth Hospital discuss optimization of the pre, peri and post TAVI procedure.

Supported by proven results from PARTNER 3,1 low-risk patients with sAS now have the opportunity for TAVI. As these patients are usually younger and healthier than those in higher risk categories,1-6 further considerations for this group include valve durability and valve-in-valve (ViV) procedures that support their longer-term management.

In the third instalment of the TAVI Talk podcast series, Interventional Cardiologist Dr. Karim Ratib from Royal Stoke University Hospital and Dr. Andrew Epstein, Cardiologist from Wye Valley NHS Trust discuss their Aortic Stenosis Management Service for best patient outcome.

The characterisation of aortic stenosis (AS) severity remains an ongoing challenge in clinical practice. Patients with discordant echocardiographic indices are commonly described in reports as having less than sAS despite meeting the criteria for sAS. Understanding the limitations of echocardiographic and adopting a step-by-step integrative approach to confirm AS severity can help meet the challenge.1-3

Patients often reduce physical activity to avoid symptoms, making it challenging to correctly identify when symptoms do develop.1-4The added burden of COVID-19 risks exacerbating this through the risk of reduced hospital appointments and limited physical activity during lockdowns.5,6

In this episode interventional cardiologists and TAVI implanters, Professor Rajesh Kharbanda, Dr Sam Dawkins, Dr Clare Appleby and Dr Joe Mills discuss:

  • The Heart Team approach to patients with Aortic Stenosis
  • the impact of referrals at times of limited resources
  • how a streamlined, efficient TAVI referral pathway can minimise healthcare footprint.

Treatment delays in patients with severe aortic stenosis (sAS) continue to impact outcomes. With COVID-19 putting a strain on healthcare resources — and delays in aortic stenosis (AS) treatment carrying a mortality risk that increases the longer the delay — early identification of sAS patients and timely referrals can help minimise these risks.1-3

In this episode, interventional cardiologists and TAVI implanters, Professor Rajesh Kharbanda, Dr Sam Dawkins, Dr Clare Appleby and Dr Joe Mills discuss how far the TAVI procedure has come over the last decade, the evidence base supporting this and what patient choice means to them.

It remains essential that your severe aortic stenosis (sAS) patients continue to be referred for treatment, however many of them may be anxious about spending time in hospital and need a treatment that offers a shorter hospital stay and quicker return home. TAVI under conscious sedation can offer a range of benefits and address these patient needs.

Your severe aortic stenosis (sAS) patients are still in urgent need of treatment. They need a procedure with optimal clinical outcomes, fewer complications and a quick return home. The 2-year results from the PARTNER 3 Trial continue to show favourable outcomes of SAPIEN 3 TAVI compared to surgery.

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