- The American College of Cardiology (ACC) has released checklists called “decision pathways” designed to help clinicians and hospitals decide which patients are good candidates for transcatheter aortic valve replacement (TAVR) for native valve aortic stenosis and to guide clinical care before, during, and after TAVR.
Why this matters
- The new consensus document builds on recommendations in the 2014 American Heart Association/ACC Guidelines for Management of Patients with Valvular Heart Disease.
- The checklists are designed to remain relevant as new technology and devices are developed and should be adapted by individual heart valve centers to fit each institution’s resources and needs.
- Preprocedure evaluation of TAVR candidates, including initial assessment and shared decision-making between the patient and heart valve team.
- Imaging modalities and measurements, including how to select which modality works best for each patient.
- Key issues in performing TAVR, including valve sizing, access site selection, and complications.
- Recommendations for care after TAVR, from immediately after surgery to long-term follow-up.