Patient selection for transcatheter aortic valve implantation (TAVI) in South Africa

Martyn Thomas, Thomas A. Mabin

Abstract


Patient selection is likely to be the most important determinant of a successful long term outcome of the TAVI procedure. It requires careful assessment of the indications for aortic valve replacement, clinical status of the patient, associated co-morbidities and, importantly, the cognitive function and motivation of the patient. This assessment must be made by a multi-disciplinary team consisting of at least a cardiologist, cardiac surgeon, anaesthetist and general physician. Careful imaging of the relevant anatomy
with ultrasound and CT scanning is critical. Experience improves patient selection and ultimate outcome. Funding remains a challenge and many patients worthy of the procedure are denied because of costs.

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DOI: https://doi.org/10.24170/9-2-1850

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ISSN: 2071-4602 (online) ISSN: 1996-6741 (print)

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