Procedure Efficiency in Transcatheter Aortic Valve Implantation

The advent of transcatheter aortic valve replacement (TAVR) represents one of the most important breakthroughs in the modern era for the treatment of failing native and bioprosthetic surgical aortic valves. In the initial era of the early 2000s, the procedure was in its infancy, and as such operators and surgeons took extra precaution during the pre-, intra-, and post-procedural phases of the procedure to ensure patient safety and guarantee a positive procedural outcome. However, as the field of transcatheter therapeutics evolved, so did the procedure and operators, alike. The work flow in the various procedural phases began to become more streamlined, and redundancies were eliminated. Various international collaboratives and studies demonstrated that certain aspects of the procedure previously thought to be necessary were more rather optional. As experience with TAVR has grown, so to have various practices to ensure procedural success as well as efficiency. Thus, we have highlighted currently adopted and the most up-to-date procedural practices that promote optimal outcomes and drive procedural efficiency during all phases of TAVR.