title: Measuring risk in valvular interventions: from low risk to futility.
abstract: Current risk scores are based on cardiac surgical procedures and therefore have limited application in transcatheter aortic or mitral interventions. Their ability to predict outcome in high-risk patients remains poor and the question of utility or futility of an intervention can only be decided by a team of physicians with diverse expertise.
authors.affiliation: Department of Thoracic Surgery, Erasmus MC, Rotterdam, The Netherlands.
authors.forename: Arie Pieter
authors.initials: AP
authors.lastname: Kappetein
mesh_terms: D000367:Age Factors; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods / Q000401:mortality; D003661:Decision Support Techniques; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods / Q000401:mortality; D006351:Heart Valves / Q000503:physiopathology; D006801:Humans; D018447:Medical Futility; D018579:Patient Selection; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome