title: Transcatheter aortic valve implantation in the elderly: who to refer?
abstract: In recent years, experience with transcatheter aortic valve implantation has led to improved outcomes in elderly patients with severe aortic stenosis (AS) who may not have previously been considered for intervention. These patients are often frail with significant comorbid conditions. As the prevalence of AS increases, there is a need for improved assessment parameters to determine the patients most likely to benefit from this novel procedure. This review discusses the diagnostic criteria for severe AS and the trials available to aid in the decision to refer for aortic valve procedures in the elderly.
authors.affiliation: Department of Cardiology, Columbia University Medical Center, New York, NY. Electronic address: mtf2129@columbia.edu.
authors.forename: Matthew
authors.initials: M
authors.lastname: Finn
authors.affiliation: Department of Cardiology, Columbia University Medical Center, New York, NY.
authors.forename: Philip
authors.initials: P
authors.lastname: Green
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D018579:Patient Selection
keywords: ADL; AR; AS; AVA; Aortic stenosis; BAV; CAD; COPD; CR; CW; DSE; EF; Elderly; Frailty; LV; LVOT; MR; MRI; NYHA; New York Heart Association; PAD; PARTNER; PW; Placement of Aortic Transcatheter Valve; Quality of life; Referral; Risk stratification; SAVR; STS; Society Thoracic Surgeons; Surgical aortic valve replacement; TAVI; Transcatheter aortic valve replacement; VTI; activities of daily living; aortic regurgitation; aortic stenosis; aortic valve area; balloon valvuloplasty; cardiac rehabilitation; chronic obstructive pulmonary disease; continuous wave; coronary artery disease; dobutamine stress echocardiography; ejection fraction; left ventricular; left ventricular outflow tract; magnetic resonance imaging; mitral regurgitation; peripheral arterial disease; pulsed wave; surgical aortic valve replacement; transcatheter aortic valve implantation; velocity time integral