Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Practice Guideline
. 2020 Jun 22;13(12):1484-1488.
doi: 10.1016/j.jcin.2020.04.001. Epub 2020 Apr 6.

Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the COVID-19 Pandemic: An ACC/SCAI Position Statement

Pinak B Shah  1 , Frederick G P Welt  2 , Ehtisham Mahmud  3 , Alistair Phillips  4 , Neal S Kleiman  5 , Michael N Young  6 , Matthew Sherwood  7 , Wayne Batchelor  7 , Dee Dee Wang  8 , Laura Davidson  9 , Janet Wyman  10 , Sabeeda Kadavath  11 , Molly Szerlip  12 , James Hermiller  13 , David Fullerton  14 , Saif Anwaruddin  15 ; American College of Cardiology and the Society for Cardiovascular Angiography and Interventions
Affiliations
Practice Guideline

Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the COVID-19 Pandemic: An ACC/SCAI Position Statement

Pinak B Shah et al. JACC Cardiovasc Interv. .

Abstract

The coronavirus disease-2019 (COVID-19) pandemic has strained health care resources around the world, causing many institutions to curtail or stop elective procedures. This has resulted in an inability to care for patients with valvular and structural heart disease in a timely fashion, potentially placing these patients at increased risk for adverse cardiovascular complications, including CHF and death. The effective triage of these patients has become challenging in the current environment as clinicians have had to weigh the risk of bringing susceptible patients into the hospital environment during the COVID-19 pandemic against the risk of delaying a needed procedure. In this document, the authors suggest guidelines for how to triage patients in need of structural heart disease interventions and provide a framework for how to decide when it may be appropriate to proceed with intervention despite the ongoing pandemic. In particular, the authors address the triage of patients in need of transcatheter aortic valve replacement and percutaneous mitral valve repair. The authors also address procedural issues and considerations for the function of structural heart disease teams during the COVID-19 pandemic.

Keywords: COVID-19; MitraClip; TAVR; structural heart disease.

PubMed Disclaimer

Comment in

References

    1. Centers for Medicare and Medicaid Services Non-emergent, elective medical services, and treatment recommendations. https://www.cms.gov/files/document/31820-cms-adult-elective-surgery-and-... Available at:
    1. Elbaz-Greener G., Maish S., Fang J. Temporal trends and clinical consequences of wait times for transcatheter aortic valve replacement: a population study. Circulation. 2018;138:483–493. - PubMed
    1. Elbaz-Greener G., Yarranton B., Qiu F. Association between wait time for transcatheter aortic valve replacement and early postprocedural outcomes. J Am Heart Assoc. 2019;8 - PMC - PubMed
    1. Butala N, Chung M, Secemsky EA, et al. Conscious sedation versus general anesthesia for transcatheter aortic valve replacement: variation in practice and outcomes. J Am Coll Cardiol Intv 2020 Mar 16 [E-pub ahead of print]. - PMC - PubMed
    1. Hyman M.C., Vemulapalli S., Szeto W.Y. Conscious sedation versus general anesthesia for transcatheter aortic valve replacement: insights from the national ACC/STS TVT Registry. Circulation. 2017;136:2132–2140. - PubMed

Publication types

LinkOut - more resources