The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

EDITORIAL

TAVI at institutions without cardiovascular surgery departments: why?

EuroIntervention 2014;10:539-541. DOI: 10.4244/EIJV10I5A95

1. Department of Cardiology, Galway University Hospitals, Galway, Ireland; 2. Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands; 3. Department of Interventional Cardiology, McGill University Health Centre,
“Thou shall not”……unless “thou” art in Germany!

The first commandment of transcatheter aortic valve implantation (TAVI) is that it should not be performed in the absence of an on-site cardiovascular surgery department. This position is enshrined in various recommendations and statements of national and international cardiology societies1-4. Although seemingly pedantic, it is important to distinguish between an “on-site surgical department” and “on-site surgery”. For the purposes of TAVI, the latter insinuates availability of surgical “back-up” for vascular access and/or the management of procedural complications, while the former implies a far more substantial contribution to patient care. ...

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