Transcatheter aortic valve implantation (TAVI) in patients with aortic stenosis. Update of Report No. 45

Sinclair A, Xie X, McGregor M
Record ID 32013000677
Authors' objectives: Transcatheter aortic valve implantation (TAVI) involves the insertion of a bioprosthetic aortic valve, either transarterially or transapically, to relieve symptomatic, severe native valve stenosis. Its original use was in patients with contraindications to surgery, but that use is now being extended to operable patients who are at high and intermediate surgical risk. This is an update of a previous TAU review (Report No 45, 2009) and a review of TAVI use at the MUHC.
Authors' recomendations: For patients with reduced life expectancy due to severe symptomatic aortic stenosis, in whom surgery is considered not to be an option, if age and comorbidity are such that a continuing life of adequate quality can be anticipated, valve replacement by the TAVI procedure should now be considered standard of care. For patients for whom surgery is an available option, SAVR should normally be the chosen procedure. The practice of sharing responsibility for patient selection by a multidisciplinary team, of recording that this has been done, and of recording all relevant clinical material in a registry, as recommended by INESSS, should continue.
Project Status: Completed
Year Published: 2013
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Aortic Valve
  • Heart Valve Prosthesis Implantation
Organisation Name: Technology Assessment Unit of the McGill University Health Centre (MUHC)
Contact Address: Technology Assessment Unit of the MUHC, Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, 5252 boul. de Maisonneuve, Bureau 3F.50, Montreal, Quebec H4A 3S5
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Copyright: Technology Assessment Unit of the McGill University Health Centre (MUHC)
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