Setting up a transcatheter aortic valve implantation program: Indian perspective |
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Affiliation: | 1. Herzzentrum, Segeberger Kliniken GmbH, Academic Teaching Hospital of the Universities of Kiel and Hamburg, Bad Segeberg, Germany;2. Christian Medical College Hospital, Vellore, India |
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Abstract: | Transcatheter aortic valve implantation (TAVI) has revolutionized the management of elderly patients with symptomatic severe aortic stenosis in the western world. It is a valuable alternative to surgical aortic valve replacement in patients, who are inoperable or at high surgical risk due to co-morbidities. The prevalence of aortic stenosis increases sharply with age after the sixth decade and is expected to have a significant impact on the geriatric health care system of India, given the rapid increase in life expectancy in recent years. Although a decade has passed since the first TAVI implantation, it is yet to penetrate most of the developing countries in a major way. This short review focuses on fundamentals of initiating a TAVI program based on the experience of a high volume TAVI center with a successful program in Germany. |
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Keywords: | Trans-catheter aortic valve implantation Aortic stenosis Self-expanding device Balloon-expandable device TAVI techniques |
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