title: [Interdisciplinary differential treatment of structural heart disease : When operation and when catheter-based intervention?].
abstract: The demographic changes in society lead to an increasing number of patients with aortic valve stenosis and mitral regurgitation. Simultaneously the higher age of patients is associated with an increase in multimorbidity with a high surgical risk so that they cannot be referred to surgery. Besides the current gold standard of surgery, minimally invasive therapeutic options are increasingly becoming established for these patients. For the differentiated indications and therapeutic success, a multidisciplinary heart team assumes an important role. The next generation of transcatheter aortic valve implantation (TAVI) systems will lead to improvement in the results, lower complication rates and mortality and as a result there is a general trend towards expanding the indications. New innovative minimally invasive mitral valve devices are still undergoing clinical trials and will define future therapy options.
authors.affiliation: Herzzentrum, Med. Klinik I - Kardiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Yücel
authors.affiliation: Herzzentrum, Med. Klinik I - Kardiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Deutschland. Hueseyin.Ince@vivantes.de.|Klinik für Innere Medizin - Kardiologie und konservative Intensivmedizin, Vivantes Klinikum im Friedrichshain, Berlin, Deutschland. Hueseyin.Ince@vivantes.de.|Vivantes Klinikum Am Urban, Berlin, Deutschland. Hueseyin.Ince@vivantes.de.
authors.forename: H
authors.initials: H
authors.lastname: Ince
authors.affiliation: Herzzentrum, Med. Klinik I - Kardiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Deutschland.|Klinik für Innere Medizin - Kardiologie und konservative Intensivmedizin, Vivantes Klinikum im Friedrichshain, Berlin, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Kische
authors.affiliation: Herzzentrum, Med. Klinik I - Kardiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Deutschland.
authors.forename: M A
authors.initials: MA
authors.lastname: Sherif
authors.affiliation: Universitätsklinikum Rostock Klinik und Poliklinik für Herzchirurgie, Rostock, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Bushnaq
authors.affiliation: Klinik für Innere Medizin - Kardiologie und konservative Intensivmedizin, Vivantes Klinikum im Friedrichshain, Berlin, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Bärisch
authors.affiliation: Herzzentrum, Med. Klinik I - Kardiologie, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Öner
mesh_terms: D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization / Q000379:methods*; D000066491:Clinical Decision-Making / Q000379:methods*; D019317:Evidence-Based Medicine; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration; D016896:Treatment Outcome
keywords: Aortic valve stenosis; Cardiac surgical procedures; Mitral valve insufficiency; Multidisciplinary heart team; Transcatheter aortic valve implantation