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Neth Heart J. 2020 May;28(5):229-239. doi: 10.1007/s12471-020-01367-4.

Treatment decision for transcatheter aortic valve implantation: the role of the heart team : Position statement paper of the Dutch Working Group of Transcatheter Heart Interventions.

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation

P P T de Jaegere, A de Weger, P den Heijer, M Verkroost, J Baan, T de Kroon, Y America, G J Brandon Bravo Bruinsma

Affiliations

  1. Department of Cardiology, Erasmus University, Rotterdam, The Netherlands. [email protected].
  2. Department of Cardiothoracic Surgery, University Hospital Leiden, Leiden, The Netherlands.
  3. Department of Cardiology, Amphia Ziekenhuis, Breda, The Netherlands.
  4. Department of Cardiothoracic Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.
  5. Department of Cardiology, Academic Medical Centre, Amsterdam, The Netherlands.
  6. Department of Cardiothoracic Surgery, Antonius Ziekenhuis Nieuwegein, Nieuwegein, The Netherlands.
  7. Department of Cardiology, Rijnstate Ziekenhuis Arnhem, Arnhem, The Netherlands.
  8. Department of Cardiothoracic Surgery, Isala Heart Centre, Isala Zwolle, The Netherlands.

PMID: 31981094 PMCID: PMC7190764 DOI: 10.1007/s12471-020-01367-4

Abstract

The current paper presents a position statement of the Dutch Working Group of Transcatheter Heart Valve Interventions that describes which patients with aortic stenosis should be considered for transcatheter aortic valve implantation and how this treatment proposal/decision should be made. Given the complexity of the disease and the assessment of its severity, in particular in combination with the continuous emergence of new clinical insights and evidence from physiological and randomised clinical studies plus the introduction of novel innovative treatment modalities, the gatekeeper of the treatment proposal/decision and, thus, of qualification for cost reimbursement is the heart team, which consists of dedicated professionals working in specialised centres.

Keywords: Aortic stenosis; Heart team; Surgical aortic valve replacement; Transcatheter aortic valve implantation; Transcatheter aortic valve replacement

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