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Kardiologie 1. Jänner 2012

Terms of agreement between the Austrian Society of Cardiology and the Austrian Society of Thoracic and Cardiovascular Surgery on transcatheter heart valve interventions*

BACKGROUND: Due to the increasing volume of transcatheter heart valve interventions, we place on record the terms of the agreement reached between the Austrian Society of Cardiology (ÖKG) and the Austrian Society of Thoracic and Cardiovascular Surgery (ÖGTHC) regarding these procedures as follows. METHODS: The paper is based on the guidelines of the European societies, a review of the PubMed literature, as well as information from the medical industry. RESULTS: Currently, transcatheter-based aortic and pulmonary implantation are performed as well as transcatheter-based procedures for mitral valve insufficiency. In all cases the indication should be decided jointly by the cardiologist and the cardiac surgeon. Furthermore, these procedures should only be performed in centres where both specialists are available on site. Only patients with either congenital or acquired heart valve disease who are at very high risk of morbidity and mortality with medical or standard surgical therapy should undergo transcatheter heart valve intervention. CONCLUSIONS: According to current literature, recommendations for transcatheter heart valve interventions are only based on level of Evidence C (Consensus of Expert Opinion).

W. Wisser (Chairman), H. Gabriel, H. Mächler, R. Maier, E. Maurer, L. Müller, T. Neunteufl, European Surgery 1/2012

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