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Caution regarding potential changes in AVR practices during the COVID‐19 pandemic

Authors
  • Mehta, Jeet J.1
  • Patel, Jaymin1
  • Ayoub, Bassam1
  • Mohanty, Bibhu D.1
  • 1 University of South Florida
Type
Published Article
Journal
Journal of Cardiac Surgery
Publisher
Wiley (Blackwell Publishing)
Publication Date
May 04, 2020
Identifiers
DOI: 10.1111/jocs.14602
PMID: 32365415
PMCID: PMC7267406
Source
PubMed Central
Keywords
Disciplines
  • Editorial
License
Unknown
External links

Abstract

To improve resource allocation in face of the COVID‐19 pandemic, hospitals around the country are restricting the performance of elective surgery to preserve ventilators, operating rooms, ICU beds and protect anesthesiologists. For patients with severe aortic stenosis, efforts to bring treatment to symptomatic patients amid this pandemic might lead to favored use of catheter based management using minimalist techniques that do not require these elements. In this context, some patients with well tested surgical indications for valve replacement may be treated by catheter‐based methods. It is important that outcomes for these cases are followed closely both at respective sites and in national registries. As we recover from this pandemic, surgical cases should once again be driven by multi‐disciplinary discussion and clinical trial data, and not a mentality of crisis management.

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