Aortic stenosis in the time of COVID-19: Development and outcomes of a rapid turnaround TAVI service.
David AdlamNathan Hou Yin ChanJulia BaronJan KovacPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2021)
The COVID-19 pandemic has resulted in the cancellation of many elective surgical procedures. This has led to reports of an increase in mortality for patients with non-Covid health conditions due to delayed definitive management. Patients with severe aortic stenosis have a high annual mortality if left untreated. These patients are at risk due to the reduced number of surgical aortic valve replacements and competition for intensive care facilities during the COVID-19 pandemic. This case series suggests that the minimally invasive transcatheter aortic valve implantation is safe to continue during the COVID-19 pandemic with adjustments to the patient pathway to minimize hospital stay and to reduce patient and staff exposure. This helps to reduce the delay of definitive treatment for patients with severe aortic stenosis.
Keyphrases
- aortic stenosis
- transcatheter aortic valve implantation
- ejection fraction
- aortic valve
- aortic valve replacement
- transcatheter aortic valve replacement
- coronavirus disease
- healthcare
- sars cov
- left ventricular
- minimally invasive
- mental health
- cardiovascular events
- coronary artery disease
- case report
- public health
- locally advanced
- early onset
- risk factors
- end stage renal disease
- radiation therapy
- chronic kidney disease
- newly diagnosed
- squamous cell carcinoma
- patients undergoing
- heart failure
- insulin resistance
- emergency department
- combination therapy
- loop mediated isothermal amplification