title: Application of a Multidisciplinary Enhanced Recovery After Surgery Pathway to Improve Patient Outcomes After Transcatheter Aortic Valve Implantation.
abstract: Enhanced recovery after surgery (ERAS) protocols have proven effective in a variety of surgical specialties. Published reports on these pathways within cardiac surgery and interventional cardiology are limited. Invasive aortic valve replacement procedures are increasingly being performed by hybrid groups of interventional cardiologists and surgeons through transcatheter aortic valve implantation (TAVI). The TAVI patient population is at a higher surgical risk compared with those undergoing surgical aortic valve replacement since they are older, frailer, and have significant co-morbidities which result in an increased risk of perioperative complications. ERAS protocols have the potential to help these patients undergoing TAVI procedures. In conclusion, we propose a TAVI ERAS protocol with a call-to-action for other centers to implement an ERAS protocol to improve hospital and cardiac outcomes.
authors.affiliation: School of Medicine, University of North Carolina, Chapel Hill, North Carolina. Electronic address: Michael_Sola@med.unc.edu.
authors.forename: Michael
authors.initials: M
authors.lastname: Sola
authors.affiliation: Division of Cardiology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Cassandra J
authors.initials: CJ
authors.lastname: Ramm
authors.affiliation: Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Lavinia M
authors.initials: LM
authors.lastname: Kolarczyk
authors.affiliation: Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Emily G
authors.initials: EG
authors.lastname: Teeter
authors.affiliation: Division of Cardiology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Michael
authors.initials: M
authors.lastname: Yeung
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Caranasos
authors.affiliation: Division of Cardiology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina.
authors.forename: John P
authors.initials: JP
authors.lastname: Vavalle
mesh_terms: D001024:Aortic Valve Stenosis / Q000601:surgery*; D019091:Critical Pathways; D004434:Early Ambulation; D006801:Humans; D010348:Patient Care Team; D011182:Postoperative Care / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D065467:Transcatheter Aortic Valve Replacement / Q000534:rehabilitation*