Minimalist Transcatheter Aortic Valve Replacement: The Right Pathway Forward?

Abstract

Minimalist transcatheter aortic valve replacement (TAVR) can be implemented with no apparent compromise in patient outcomes. Although this approach is applicable for many patients undergoing TAVR, patient selection by the heart team is critical; one must be cognizant of factors whereby a minimalist approach is unsuitable. In the current era of TAVR, a minimalist approach should encompass the entire process of care and not just the procedure. Streamlining and homogenizing preprocedural workup has potential benefits for patients and health services. Minimalist TAVR is likely the right pathway forward for most patients, but the focus should be patient centered with no compromise to safety.

Keywords: Aortic stenosis; Clinical pathway; Minimalist; TAVR; Valvular heart disease.