title: Setting up a transcatheter aortic valve implantation program: Indian perspective.
abstract: Transcatheter aortic valve implantation (TAVI) has revolutionized the management of elderly patients with symptomatic severe aortic stenosis in the western world. It is a valuable alternative to surgical aortic valve replacement in patients, who are inoperable or at high surgical risk due to co-morbidities. The prevalence of aortic stenosis increases sharply with age after the sixth decade and is expected to have a significant impact on the geriatric health care system of India, given the rapid increase in life expectancy in recent years. Although a decade has passed since the first TAVI implantation, it is yet to penetrate most of the developing countries in a major way. This short review focuses on fundamentals of initiating a TAVI program based on the experience of a high volume TAVI center with a successful program in Germany.
authors: Herzzentrum, Segeberger Kliniken GmbH, Academic Teaching Hospital of the Universities of Kiel and Hamburg, Bad Segeberg, Germany; Christian Medical College Hospital, Vellore, India. Electronic address: drjohnjose@gmail.com.
authors: John
authors: J
authors: Jose
authors: Christian Medical College Hospital, Vellore, India.
authors: Geetesh
authors: G
authors: Manik
authors: Herzzentrum, Segeberger Kliniken GmbH, Academic Teaching Hospital of the Universities of Kiel and Hamburg, Bad Segeberg, Germany.
authors: Mohamed
authors: M
authors: Abdel-Wahab
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000453:epidemiology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D007194:India / Q000453:epidemiology; D009017:Morbidity; D015397:Program Evaluation; D011474:Prosthesis Design; D012307:Risk Factors; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*
keywords: Aortic stenosis; Balloon-expandable device; Self-expanding device; TAVI techniques; Trans-catheter aortic valve implantation