title: [Geriatric assessment in old patients candidate to transcatheter aortic implantation].
abstract: Aortic stenosis mostly occurs among old-old patients. Once symptoms appear, prognosis is guarded, with 2-year mortality as high as 50%. Transcatheter Aortic Valve Implantation (TAVI) is a new therapeutic option in patients at very high surgical risk, who are mostly older persons. However, TAVI is associated with some complications, and patient selection remains a challenge. Comprehensive geriatric assessment (CGA) identifies patients with medical and functional problems likely to affect the TAVI post-operative course. Collaboration between cardiologists and geriatricians will likely become a standard approach to enhance the assessment of these frail patients and identify those most likely to benefit from TAVI.
authors.affiliation: Service de Gériatrie et Réadaptation Gériatrique, CHUV, Lausanne. celine.guggiari@chuv.ch
authors.forename: Céline
authors.initials: C
authors.lastname: Guggiari
authors.forename: Didier
authors.initials: D
authors.lastname: Locca
authors.forename: Cindi
authors.initials: C
authors.lastname: Smith
authors.forename: Pierre
authors.initials: P
authors.lastname: Monney
authors.forename: Pierre
authors.initials: P
authors.lastname: Vogt
authors.forename: Christophe
authors.initials: C
authors.lastname: Büla
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000473:pathology / Q000601:surgery*; D006328:Cardiac Catheterization; D003299:Cooperative Behavior; D015577:Geriatric Assessment / Q000379:methods*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D018579:Patient Selection