Universität zu Köln

Kuck, Karl-Heinz, Bleiziffer, Sabine, Eggebrecht, Holger, Ensminger, Stephan, Frerker, Christian, Moellmann, Helge, Nef, Holger, Thiele, Holger ORCID: 0000-0002-0169-998X, Treede, Hendrik, Wimmer-Greinecker, Gerhard and Walther, Thomas (2020). Consensus paper of the German Cardiac Society (DGK) and the German Society for Thoracic and Cardiovascular Surgery (DGTHG) on transcatheter aortic valve implantation (TAVI) 2020. Z. Herz Thorax Gefasschir., 34 (3). S. 194 - 214. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1435-1277

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Abstract

Following the two position papers of the German Cardiac Society (DGK) from 2015 and 2016 on transcatheter aortic valve implantation (TAVI), the DGK and the German Society for Thoracic and Cardiovascular Surgery (DGTHG) have decided to issue a consensus paper on the topic that takes into account the most recent results from randomized controlled trials and registries, with special emphasis on patients with severe aortic stenosis (AS) and low operative risk (STS score <= 4%). Specific indications, such as valve in valve and severe AS in patients with a bicuspid aortic valve are also addressed. Additionally, TAVI-related complications and the durability of percutaneously in comparison to surgically inserted prostheses are discussed, particularly in view of the generally younger age of low-risk patients. According to this consensus paper, surgical aortic valve replacement (SAVR) is recommended for low-risk patients <= 70 years without any of the risk factors known to be missing from the widely accepted risk scores. The TAVI procedure is recommended after heart team consensus for low-risk patients >75 years and a suitable anatomy for TAVI. In patients between 70 and 75 years old, a heart team decision between SAVR and TAVI is recommended that considers the patient's life perspective in view of missing long-term data from randomized trials. Taking into account the decision of the Federal Joint Committee (G-BA) on percutaneous heart valve treatment, the personnel and structural prerequisites regarding the qualification of TAVI centers and TAVI surgeons, with the special roles of interventional cardiologists and cardiac surgeons, are defined.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kuck, Karl-Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Bleiziffer, Sabine UNSPECIFIED UNSPECIFIED UNSPECIFIED Eggebrecht, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Ensminger, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Frerker, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Moellmann, Helge UNSPECIFIED UNSPECIFIED UNSPECIFIED Nef, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Thiele, Holger UNSPECIFIED orcid.org/0000-0002-0169-998X UNSPECIFIED Treede, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Wimmer-Greinecker, Gerhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Walther, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-332794
DOI:	10.1007/s00398-020-00373-3
Journal or Publication Title:	Z. Herz Thorax Gefasschir.
Volume:	34
Number:	3
Page Range:	S. 194 - 214
Date:	2020
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1435-1277
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PERCUTANEOUS CORONARY INTERVENTION; HIGH-RISK PATIENTS; PROSTHESIS-PATIENT MISMATCH; QUALITY-ASSURANCE REGISTRY; LONG-TERM DURABILITY; CLINICAL-OUTCOMES; HOSPITAL VOLUME; PACEMAKER IMPLANTATION; HEART-VALVE; EUROPEAN ASSOCIATION Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33279