{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:23:24Z","timestamp":1731043404473,"version":"3.28.0"},"reference-count":12,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>Transcatheter aortic valve replacement (TAVR) is a well-established alternative to open surgical replacement. Strictly selecting low-risk patients and using conscious sedation during TAVR has enabled hospital stays to be safely shortened. We evaluated the safety and effectiveness of a less rigorous patient-selection process involving multidisciplinary case discussions, percutaneous procedures with the use of conscious sedation, and post-procedural care outside an intensive care unit, with the goal of discharging patients from the hospital early. We call this \u201csimple TAVR.\u201d<\/jats:p>\n        <jats:p>We retrospectively reviewed the records of patients who underwent TAVR from March 2015 through February 2020 at our center. The procedures were performed by 2 high-volume operators. Of 524 total procedures, 344 (65.6%) qualified as simple TAVR.<\/jats:p>\n        <jats:p>All 344 procedures were successful. The most frequent complication at 30 days was new permanent pacemaker implantation (7.3%, 25 patients); the rates of major vascular complications, stroke, and all-cause death were less than 3% each. Of note, 252 patients (73.3%) were discharged from the hospital the day after TAVR, and 307 (89.2%) within 48 hours.<\/jats:p>\n        <jats:p>Simple TAVR is safe, economical, and feasible in real-world practice, and it does not necessitate a rigorous perioperative protocol or patient-selection process.<\/jats:p>","DOI":"10.14503\/thij-20-7528","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T19:32:03Z","timestamp":1635190323000},"source":"Crossref","is-referenced-by-count":2,"title":["\u201cSimple\u201d Transcatheter Aortic Valve Replacement With Conscious Sedation: Safety and Effectiveness in Real-World Practice"],"prefix":"10.14503","volume":"48","author":[{"given":"Alexander","family":"Postalian","sequence":"first","affiliation":[{"name":"Department of Cardiology, Texas Heart Institute, Houston, Texas"},{"name":"Department of Cardiology, CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil E.","family":"Strickman","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Heart Institute, Houston, Texas"},{"name":"Department of Cardiology, CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center, Houston, Texas"},{"name":"Division of Cardiology, Department of Internal Medicine, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briana T.","family":"Costello","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Heart Institute, Houston, Texas"},{"name":"Department of Cardiology, CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn G.","family":"Dougherty","sequence":"additional","affiliation":[{"name":"Department of Cardiology, CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center, Houston, Texas"},{"name":"Division of Cardiology, Department of Internal Medicine, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zvonimir","family":"Krajcer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Texas Heart Institute, Houston, Texas"},{"name":"Department of Cardiology, CHI St. Luke's Health\u2013Baylor St. Luke's Medical Center, Houston, Texas"},{"name":"Division of Cardiology, Department of Internal Medicine, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"18","key":"i1526-6702-48-4-e207528-b1","series-title":"N Engl J Med","first-page":"1695","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","year":"2019","unstructured":"Mack\n              MJ,\n            \n            \n              Leon\n              MB,\n            \n         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