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Recommendations for Transcatheter Valve Programs

Recommendations for Transcatheter Valve Programs

As new technologies continue to emerge, transcatheter techniques have become part of the treatment armamentarium for cardiologists. They allow for a less invasive option for patients who were previously only treatable with open heart surgery or, in many cases, not treatable at all. Transcatheter mitral valve therapy, a procedure in which catheters are used to place clips on the mitral valve and reduce regurgitation, has emerged as the only alternative treatment to open heart surgery for patients with valvular heart disease, thus making it an essential option for high-risk individuals In 2014, a committee of cardiac surgeons and interventional cardiologists from the American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American Association for Thoracic Surgery, and the Society of Thoracic Surgeons developed a consensus paper that provides clinicians and hospitals guidance on developing and maintaining transcatheter mitral valve therapy programs for the first time. Published simultaneously in the Journal of the American College of Cardiology, Annals of Thoracic Surgery, and Catheterization & Cardiovascular Interventions, the document establishes core competencies and technical skills for providers and institutions. “As transcatheter techniques are used more frequently, it’s important to establish and promote best practices and standards of care so that patients can have the best possible outcomes,” says Carl L. Tommaso, MD, FACC, who chaired the consensus writing committee. With the emergence of innovative devices and rapidly developing techniques, the qualifications to participate in transcatheter mitral valve therapy are unique. The field requires a combination of interventional skills, equipment, collaborative clinical management, surgical approaches, techniques, and careful patient selection. Identifying Key Requisites Given the high-risk nature of transcatheter techniques and...
TCT 2014

TCT 2014

New research is being presented at TCT 2014, the Transcatheter Cardiovascular Therapeutics annual meeting, from September 13 to 17, in Washington, DC.   Meeting Highlights Managing In-Stent Restenosis Embolic Protection During TAVI Comparing TAVR to Surgery in Intermediate-Risk Patients   News From TCT 2014 Cap and Lead Pelvic Drape Reduce Radiation Exposure to Operators in PCI No MACE Benefit With Prasugrel in ACS “Sham” Renal Denervation Defended Six Months of DAPT Offers SECURITY in Low-Risk PCI PFO Closure Fails Anew in Migraine FDA Town Hall Paves Way for New Approval Strategies Renal Denervation Misses in Mildly Hypertensive Patients Female Interventionalists ‘Very Rare,’ Work in Isolation No Harm, No Foul With Triple Therapy Light From BRIGHT: More Fuel for Bivalirudin-Heparin Debate Reassuring Data on Use of DAPT and Anticoagulation Rx for Bifurcation Lesions — Hold the Stenting Bioresorbable Scaffold Safe But Not Spectacular Dead or Treading Water: Experts Debate Future of Renal Denervation for Resistant Hypertension No Deaths With Mild/Moderate Paravalvular Leaks: CoreValve Extreme Risk at Two Years St Jude Issues Worldwide ‘Pause’ on Portico TAVR Implants CoreValve TAVR Ups Survival, Has $$$ Value Sapien Valve Survival Benefit Durable at 5 Years Vascular-Closure Devices as Good as Hands-on After Diagnostic Coronary Angiography TAVR Deaths at Five Years in PARTNER: Sobering and Remarkable DC Meeting Highlights Iterative Change   More From TCT 2014 Registration About TCT Week-at-a-Glance Program Agend Hillary Clinton Keynote Address Virtual TCT TCT in 3 Hands-on TAVR Imaging Visual Interactive Technology Center Late-Breaking Clinical Trials and First Report Investigations Challenging Cases iASSESS FDA Town Hall Meeting Nurse & Technologist Symposium Satellite Symposia Live Case Sites Fellows Track Endovascular...
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