Transcatheter aortic valve implantation during the COVID-19 pandemic: Clinical expert opinion and consensus statement for Asia

Edgar L. Tay, Kentaro Hayashida, Mao Chen, Wei Hsien Yin, Duk Woo Park, Ashok Seth, Hsien Li Kao, Mao Shin Lin, Kay Woon Ho, Wacin Buddhari, Mann Chandavimol, Fabio Enriques Posas, Quang N. Nguyen, William Kong, M. A. Rosli, Jimmy Hon, Doni Firman, Michael Lee

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: The impact of the COVID-19 pandemic on the treatment of patient with aortic valve stenosis is unknown and there is uncertainty on the optimal strategies in managing these patients. Methods: This study is supported and endorsed by the Asia Pacific Society of Interventional Cardiology. Due to the inability to have face to face discussions during the pandemic, an online survey was performed by inviting key opinion leaders (cardiac surgeon/interventional cardiologist/echocardiologist) in the field of transcatheter aortic valve implantation (TAVI) in Asia to participate. The answers to a series of questions pertaining to the impact of COVID-19 on TAVI were collected and analyzed. These led subsequently to an expert consensus recommendation on the conduct of TAVI during the pandemic. Results: The COVID-19 pandemic had resulted in a 25% (10-80) reduction of case volume and 53% of operators required triaging to manage their patients with severe aortic stenosis. The two most important parameters used to triage were symptoms and valve area. Periprocedural changes included the introduction of teleconsultation, preprocedure COVID-19 testing, optimization of protests, and catheterization laboratory set up. In addition, length of stay was reduced from a mean of 4.4 to 4 days. Conclusion: The COVID-19 pandemic has impacted on the delivery of TAVI services to patients in Asia. This expert recommendation on best practices may be a useful guide to help TAVI teams during this period until a COVID-19 vaccine becomes widely available.

Original languageEnglish
Pages (from-to)2142-2146
Number of pages5
JournalJournal of Cardiac Surgery
Volume35
Issue number9
DOIs
Publication statusPublished - 1 Sep 2020

Keywords

  • COVID 19
  • TAVI
  • TAVR
  • valve repair/replacement

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