Mini-AVR vs. TAVI: from guidelines to personalized medicine
Prof. Augusto D’Onofrio
MVT Aortic 2022, vol.2
– What’s less invasive than minimally-invasive surgery? Micro-invasive.
– The initial pros and cons of each approach are clear, but what about the outcomes?
– Don’t forget to implement Enhanced Recovery After cardiac Surgery (ERAS) protocols.
Prof. Ruggero De Paulis
MVT Aortic 2022, vol.1
– Many surgical options, very comprehensive, and very unbiased
– A redo-SAVR is not as simple as just “redoing” the procedure: beware of higher risk and more complex procedures
– Very clear 7-step removal process of the original valve prosthesis
-Pros and cons of different pledgets, suture techniques, valve positioning, valve sizing, and more
Prof. Bart Meuris
MVT Aortic 2022, vol.1
-Cosmesis vs clinical benefit? Cross-clamp times? Extra costs? Have you thought about these aspects before?
-What about less pain? Less blood loss? Shorter ICU stays? Lower rates of atrial fibrillation? Remember, there are always pros and cons.
-If combined procedures are necessary, minimally invasive can be a choice in experienced centers
Prof. Kocher – EACTS 2021
Dr. Marco Solinas
MVT Aortic 2021