title: [Interventional therapy of aortic valve stenosis in Germany].
abstract: BACKGROUND
  Transcatheter aortic valve implantation (TAVI) has gained importance in recent years for the treatment of symptomatic aortic stenosis in Germany.
  
  
  OBJECTIVE
  This article discusses the indications, the procedure itself and safety issues in TAVI.
  
  
  METHODS
  Randomized controlled trials, registry studies, guidelines and expert recommendations are discussed.
  
  
  RESULTS
  Inoperable patients as well as patients ≥ 75 years with a high perioperative risk and patients ≥ 85 years should primarily be treated by TAVI. The decision must be made following discussions in a heart team. If no contraindications are detected the TAVI procedure should be performed via the transfemoral approach with the patient under conscious sedation. In recent years there has been a significant reduction in complication rates.
  
  
  CONCLUSIONS
  In Germany TAVI is the standard of care for surgical high-risk and inoperable patients with aortic valve stenosis.
authors.affiliation: Medizinische Klinik I, Universitätsklinik Gießen, Klinikstr. 33, 35392, Gießen, Deutschland. christian.hamm@innere.med.uni-giessen.de.|Abteilung für Kardiologie, Kerckhoff Herz- und Thoraxzentrum, Benekestr. 2-8, Bad Nauheim, 61231, Deutschland. christian.hamm@innere.med.uni-giessen.de.
authors.forename: C W
authors.initials: CW
authors.lastname: Hamm
authors.affiliation: Medizinische Klinik I, Universitätsklinik Gießen, Klinikstr. 33, 35392, Gießen, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Bauer
mesh_terms: D001024:Aortic Valve Stenosis / Q000175:diagnosis* / Q000601:surgery*; D002309:Cardiology / Q000592:standards*; D019317:Evidence-Based Medicine; D005858:Germany; D006350:Heart Valve Prosthesis / Q000592:standards*; D006801:Humans; D017410:Practice Guidelines as Topic; D011300:Preoperative Care / Q000592:standards; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects / Q000379:methods* / Q000592:standards*; D016896:Treatment Outcome
keywords: Aortic valve registries; Aortic valve replacement, surgical; CT angiography; Patient safety; Transcatheter aortic valve implantation