title: POL-TAVI - Polish Registry of Transcatheter Aortic Valve Implantation - simple tool, great value, rationale and design.
abstract: Aortic stenosis (AS) is the most common valvular heart disease in adults in Europe and North America. Management of AS patients depends on accurate diagnosis of the cause and stage of the disease process: the first and definitive therapeutic choice for a growing number of elderly patients with symptomatic AS is surgical treatment. In patients not eligible for surgery, transcatheter aortic valve implantation (TAVI) constitutes a safe and effective alternative. As an innovative, costly method of treatment, it requires however careful monitoring of its course, documenting its early and long-term results, and assessment of its safety and medical-economic cost-effectiveness. A medical registry seems to be an excellent tool to perform such analysis. The aim of this paper is to present the design and rationale for creation of the first National Cardiac-Cardiac Surgical Registry of Percutaneous Aortic Valve Treatment POL-TAVI, to describe its genesis and to highlight its key assumptions and aims. Despite its recent beginnings, the POL-TAVI Registry has already demonstrated its value and usability in monitoring and assessment of TAVI procedures, leading to further improvement and development of this new method in Poland. It constitutes an important and valuable tool for patients, the medical community and the payer.
authors.affiliation: Silesian Center for Heart Diseases in Zabrze, Poland; Department of Doctoral Studies, School of Public Health in Bytom, Medical University of Silesia in Katowice, Poland; Kardio-Med Silesia Science and Technology Park, Zabrze, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Zembala-John
authors.affiliation: 3 Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases, Zabrze, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Wilczek
authors.affiliation: Department of Cardiothoracic Surgery, The Children's Memorial Health Institute, Warsaw, Poland.
authors.forename: Zdzisław
authors.initials: Z
authors.lastname: Tobota
authors.affiliation: Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases in Zabrze, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Chodór
authors.affiliation: Center for Research, Training and New Medical Technologies, Silesian Centre for Heart Diseases, Zabrze, Poland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Cieśla
authors.affiliation: Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases in Zabrze, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Jaźwiec
authors.affiliation: Department of Cardiology, Military Hospital, Wroclaw, Poland.
authors.forename: Waldemar
authors.initials: W
authors.lastname: Banasiak
authors.affiliation: Department of Intensive Cardiac Care, Institute of Cardiology, Warsaw, Poland.
authors.forename: Janina
authors.initials: J
authors.lastname: Stępińska
authors.affiliation: Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases in Zabrze, Poland.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Kalarus
authors.affiliation: 1 Department of Cardiology, Warsaw Medical University, Warsaw, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Opolski
authors.affiliation: Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases in Zabrze, Poland.
authors.forename: Marian
authors.initials: M
authors.lastname: Zembala
keywords: POL-TAVI; aortic stenosis; cost-effectiveness; registry; transcatheter aortic valve implantation