OHTAC recommendation: transcatheter aortic valve implantation for treatment of aortic valve stenosis
Ontario Health Technology Advisory Committee
Record ID 32014000045
English
Authors' recommendations:
Based on the current available evidence, OHTAC recommends the following:
- In patients with severe aortic valve stenosis who are candidates for surgery, in light of the high
complication rates of TAVI as well as similar effectiveness but unfavourable cost-effectiveness
compared with surgery, OHTAC does not recommend using TAVI.
- In patients with severe aortic valve stenosis who are not candidates for open-heart surgery, TAVI
is a reasonable option. However, given the high complication rates and uncertainty regarding the
short- and long-term effectiveness and cost-effectiveness of TAVI, OHTAC recommends close
follow-up of patient resource use, quality-of-life preference information, and clinical outcome
data as a coverage with evidence development through Programs for Assessment of Technology
in Health and in collaboration with the Cardiac Care Network. A final decision regarding the use
of this technology, including appropriate patient selection in Ontario, should be predicated on the
outcomes from the coverage with evidence development.
- Given the complexity of this technology and significant complications associated with its use,
OHTAC recommends, in the interests of the highest quality of patient care, that TAVI be
restricted to institutions with broad-based experience in its use and with an appropriate volume of
patients.
Details
Project Status:
Completed
Year Published:
2013
URL for published report:
http://www.hqontario.ca/Portals/0/Documents/eds/ohtas/recommendation-tavi-aortic-valve-stenosis-130516-en.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Aortic Valve Stenosis
- Cardiac Catheterization
Contact
Organisation Name:
Health Quality Ontario
Contact Address:
Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5
Contact Name:
EDSinfo@hqontario.ca
Contact Email:
OH-HQO_hta-reg@ontariohealth.ca
Copyright:
Health Quality Ontario
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.