Arq. Bras. Cardiol. 2023; 120(9): e20230328
Viability and Safety of Early Hospital Discharge after Minimalist TAVI in the Brazilian Unified Health System
Marcos Almeida Meniconi
, Fernanda Jacques Calçado Oliveira, Alberto Colella Cervone
, Dorival Julio Della Togna, Fausto Feres, Auristela Isabel de Oliveira Ramos
, Dimytri Alexandre de Alvim Siqueira
Introduction
Transcatheter aortic valve implantation (TAVI) has established itself as the treatment of choice for octogenarian patients with aortic stenosis. Broadly speaking, TAVI with a minimalist approach (M-TAVI) refers to the performance of the procedure under conscious sedation and local anesthesia, percutaneous femoral access, monitoring with transthoracic echocardiography, and early mobilization. Studies have indicated the safety of M-TAVI with hospital discharge within 24 hours after the procedure, with reduced hospital costs,,which is a relevant aspect from the perspective of national public health. Thus, the objective of this study was to evaluate the feasibility and safety of a multidisciplinary institutional M-TAVI protocol with the goal of hospital discharge within 48 hours, implemented in a tertiary hospital that is part of the Brazilian Unified Health System (SUS).
[…]
819
