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We reviewed frailty assessment tools in transcatheter intervention cohorts to recommend a pathway for preprocedural frailty assessment in patients referred for transcatheter valve procedures, and evaluated current evidence for frailty interventions and their efficacy in transcatheter intervention. We recommend the use of a frailty screening instrument to identify patients as frail, with subsequent referral for comprehensive geriatric assessment\u00a0in these patients, to assist in selecting appropriate patients and then optimizing them for transcatheter valve interventions. Interventions to reduce preprocedural frailty are not well defined, however, data from limited cohort studies support exercise\u2010based interventions to increase functional capacity and reduce frailty in parallel with preprocedural medical optimization.<\/jats:p>","DOI":"10.1002\/ccd.31076","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T15:40:48Z","timestamp":1717170048000},"page":"155-166","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Frailty and transcatheter valve intervention: A narrative review"],"prefix":"10.1002","volume":"104","author":[{"given":"Hannah","family":"Kempton","sequence":"first","affiliation":[{"name":"Department of Cardiology St Vincent's Hospital Sydney New South Wales Australia"},{"name":"Faculty of Health and Medicine The University of New South Wales Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9202-6712","authenticated-orcid":false,"given":"Rachael","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Cardiology St Vincent's Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara L.","family":"Hungerford","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medicine The University of New South Wales Sydney New South Wales Australia"},{"name":"The CardioVascular Center Tufts Medical Center Boston Massachusetts USA"},{"name":"Department of Cardiology Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Hayward","sequence":"additional","affiliation":[{"name":"Department of Cardiology St Vincent's Hospital Sydney New South Wales Australia"},{"name":"Faculty of Health and Medicine The University of New South Wales Sydney New South Wales Australia"},{"name":"Victor Chang Cardiac Research Institute Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W. 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