The Preoperative Assessment of Frailty in the Setting of Transcatheter Aortic Valve Implantation (TAVI): A Systematic Review

Antonio Martocchia, Laura Vero, Denise Pezzella, Silvia Sciaulino, Lorenzo Caracciolo, Luciano De Biase, Andrea Berni, Roberto Bianchini, Paolo Martelletti, Giorgio Sesti
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Abstract

Increasing evidence in the literature suggests the assessment of the frailty in the patients before the transcatheter aortic valve implantation (TAVI), but there is still a matter of debate about the standardized method to be used. We searched online the medical literature database (PubMed) from 2006 to 2023, covering the 17-year period that marked the development of the minimally invasive approach. We retrieved n.218 articles and 64 studies were evaluated. The preoperative assessment of frailty in the setting of the TAVI is a key point of the evaluation by the heart team in order to identify the patients at low or high risk of complications after surgery and to support the clinical decision in allocating the health care resources.

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经导管主动脉瓣植入术(TAVI)术前评估虚弱程度:系统回顾
越来越多的文献建议在经导管主动脉瓣植入术(TAVI)前对患者的虚弱程度进行评估,但对于采用何种标准化方法仍存在争议。我们在线检索了 2006 年至 2023 年的医学文献数据库(PubMed),涵盖了标志着微创方法发展的 17 年间。我们共检索到 218 篇文章,并对 64 项研究进行了评估。TAVI 术前评估虚弱程度是心脏团队评估的一个关键点,目的是识别术后并发症风险较低或较高的患者,并为分配医疗资源的临床决策提供支持。
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