{"id":9013,"date":"2011-06-27T16:17:30","date_gmt":"2011-06-27T20:17:30","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=9013"},"modified":"2011-07-19T17:44:13","modified_gmt":"2011-07-19T21:44:13","slug":"tavi-playing-in-the-sandbox-together","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/06\/27\/tavi-playing-in-the-sandbox-together\/","title":{"rendered":"TAVI: Playing in the Sandbox Together"},"content":{"rendered":"<p><strong> <\/strong><strong>Kudos<\/strong> to the the\u00a0American College of Cardiology Foundation (ACCF) and the Society of Thoracic Surgeons (STS) for getting ahead of the game by\u00a0rolling out\u00a0<a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/full\/j.jacc.2011.05.007v1\">a joint position statement<\/a> regarding transcatheter aortic valve\u00a0implantation (TAVI) <strong><em>before<\/em><\/strong> <strong><em>the FDA panel convenes in July to consider approval of the procedure<\/em><\/strong>.\u00a0 It\u2019s a terrific first step to avoid some of the \u201ctugs of war\u201d that have characterized previous transformational technologies.<strong> <\/strong><\/p>\n<p>Here\u2019s what they&#8217;re recommending:<\/p>\n<ol>\n<li>Specialized <strong>regional heart centers<\/strong> (with expertise and high volumes of valve procedures)<\/li>\n<li><strong>\u201cHeart teams\u201d<\/strong> (composed of primary cardiologists, cardiac surgeons, interventionalists, echocardiographers, imaging specialists, and heart failure specialists)<\/li>\n<li><strong> <\/strong>Standardized <strong>protocols for training<\/strong> physicians\u00a0on how to use this therapy appropriately<\/li>\n<li><strong>Modified cath labs or hybrid operating rooms<\/strong> (large rooms capable of state-of-the art angiographic imaging and valve surgery).<\/li>\n<li><strong>National registries<\/strong> for post-market practice treatment outcomes<\/li>\n<li><strong>Studies<\/strong> to determine if patients who are younger and lower-risk than those in current randomized trials will benefit from the procedure<\/li>\n<\/ol>\n<p>This consensus statement aligns the interests of various expert physicians (e.g., cardiologists, cardiac surgeons, interventionalists, heart failure physicians, and imaging specialists) and professional societies to deliver the best possible patient-centered care.<\/p>\n<p><em><strong>Has your center adopted a \u201cHeart Team\u201d approach to coronary revascularization or valve surgery?<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kudos to the the\u00a0American College of Cardiology Foundation (ACCF) and the Society of Thoracic Surgeons (STS) for getting ahead of the game by\u00a0rolling out\u00a0a joint position statement regarding transcatheter aortic valve\u00a0implantation (TAVI) before the FDA panel convenes in July to consider approval of the procedure.\u00a0 It\u2019s a terrific first step to avoid some of the [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,9],"tags":[431,891,423,397],"class_list":["post-9013","post","type-post","status-publish","format-standard","hentry","category-general","category-interventional-cardiology","tag-acc","tag-sts","tag-tavi","tag-transcatheter-valve-therapy"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/9013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=9013"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/9013\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=9013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=9013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=9013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}