Establishment of a transcatheter aortic valve program and heart valve team at a Veterans Affairs facility

Faisal G. Bakaeen; Biswajit Kar; Danny Chu; Lorraine D. Cornwell; Alvin Blaustein; Glenn N. Levine; David Paniagua; Hani Jneid; Corey Jensen; Prasad V. Atluri; Carlos F. Bechara; Panos Kougias; Chris Pawlak; Biykem Bozkurt; Thomas A. Burdon; Blase A. Carabello

doi:10.1016/j.amjsurg.2012.07.017

Establishment of a transcatheter aortic valve program and heart valve team at a Veterans Affairs facility

Faisal G. Bakaeen, Biswajit Kar, Danny Chu, Lorraine D. Cornwell, Alvin Blaustein, Glenn N. Levine, David Paniagua, Hani Jneid, Corey Jensen, Prasad V. Atluri, Carlos F. Bechara, Panos Kougias, Chris Pawlak, Biykem Bozkurt, Thomas A. Burdon, Blase A. Carabello

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Background: The US Food and Drug Administration recently approved a transcatheter aortic valve for patients for whom open heart surgery is prohibitively risky. Methods: A multidisciplinary heart valve team partnered with administration to launch a transcatheter aortic valve replacement (TAVR) program. Clinical registries were used to show robust valve caseloads and outcomes at our Veterans Affairs (VA) facility and to project future volumes. A TAVR business plan was approved by the VA leadership as part of a multiphase project to upgrade and expand our surgical facilities. Results: The heart valve team completed a training program that included simulations and visits to established TAVR centers. Patients were evaluated and screened through a streamlined process, and the program was initiated successfully. Conclusions: Establishing a TAVR program at a VA facility requires a multidisciplinary team with experience in heart valve and endovascular therapies and a supportive administration willing to invest in a sophisticated infrastructure.

Original language	English (US)
Pages (from-to)	643-648
Number of pages	6
Journal	American Journal of Surgery
Volume	204
Issue number	5
DOIs	https://doi.org/10.1016/j.amjsurg.2012.07.017
State	Published - Nov 2012
Externally published	Yes

Keywords

Aortic stenosis
Cardiac surgery
Transcatheter aortic valve replacement
Valve replacement

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2012.07.017

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Bakaeen, F. G., Kar, B., Chu, D., Cornwell, L. D., Blaustein, A., Levine, G. N., Paniagua, D., Jneid, H., Jensen, C., Atluri, P. V., Bechara, C. F., Kougias, P., Pawlak, C., Bozkurt, B., Burdon, T. A., & Carabello, B. A. (2012). Establishment of a transcatheter aortic valve program and heart valve team at a Veterans Affairs facility. American Journal of Surgery, 204(5), 643-648. https://doi.org/10.1016/j.amjsurg.2012.07.017

Bakaeen, FG, Kar, B, Chu, D, Cornwell, LD, Blaustein, A, Levine, GN, Paniagua, D, Jneid, H, Jensen, C, Atluri, PV, Bechara, CF, Kougias, P, Pawlak, C, Bozkurt, B, Burdon, TA & Carabello, BA 2012, 'Establishment of a transcatheter aortic valve program and heart valve team at a Veterans Affairs facility', American Journal of Surgery, vol. 204, no. 5, pp. 643-648. https://doi.org/10.1016/j.amjsurg.2012.07.017

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title = "Establishment of a transcatheter aortic valve program and heart valve team at a Veterans Affairs facility",

abstract = "Background: The US Food and Drug Administration recently approved a transcatheter aortic valve for patients for whom open heart surgery is prohibitively risky. Methods: A multidisciplinary heart valve team partnered with administration to launch a transcatheter aortic valve replacement (TAVR) program. Clinical registries were used to show robust valve caseloads and outcomes at our Veterans Affairs (VA) facility and to project future volumes. A TAVR business plan was approved by the VA leadership as part of a multiphase project to upgrade and expand our surgical facilities. Results: The heart valve team completed a training program that included simulations and visits to established TAVR centers. Patients were evaluated and screened through a streamlined process, and the program was initiated successfully. Conclusions: Establishing a TAVR program at a VA facility requires a multidisciplinary team with experience in heart valve and endovascular therapies and a supportive administration willing to invest in a sophisticated infrastructure.",

keywords = "Aortic stenosis, Cardiac surgery, Transcatheter aortic valve replacement, Valve replacement",

author = "Bakaeen, {Faisal G.} and Biswajit Kar and Danny Chu and Cornwell, {Lorraine D.} and Alvin Blaustein and Levine, {Glenn N.} and David Paniagua and Hani Jneid and Corey Jensen and Atluri, {Prasad V.} and Bechara, {Carlos F.} and Panos Kougias and Chris Pawlak and Biykem Bozkurt and Burdon, {Thomas A.} and Carabello, {Blase A.}",

year = "2012",

month = nov,

doi = "10.1016/j.amjsurg.2012.07.017",

language = "English (US)",

volume = "204",

pages = "643--648",

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AU - Bakaeen, Faisal G.

AU - Kar, Biswajit

AU - Chu, Danny

AU - Cornwell, Lorraine D.

AU - Blaustein, Alvin

AU - Levine, Glenn N.

AU - Paniagua, David

AU - Jneid, Hani

AU - Jensen, Corey

AU - Atluri, Prasad V.

AU - Bechara, Carlos F.

AU - Kougias, Panos

AU - Pawlak, Chris

AU - Bozkurt, Biykem

AU - Burdon, Thomas A.

AU - Carabello, Blase A.

PY - 2012/11

Y1 - 2012/11

N2 - Background: The US Food and Drug Administration recently approved a transcatheter aortic valve for patients for whom open heart surgery is prohibitively risky. Methods: A multidisciplinary heart valve team partnered with administration to launch a transcatheter aortic valve replacement (TAVR) program. Clinical registries were used to show robust valve caseloads and outcomes at our Veterans Affairs (VA) facility and to project future volumes. A TAVR business plan was approved by the VA leadership as part of a multiphase project to upgrade and expand our surgical facilities. Results: The heart valve team completed a training program that included simulations and visits to established TAVR centers. Patients were evaluated and screened through a streamlined process, and the program was initiated successfully. Conclusions: Establishing a TAVR program at a VA facility requires a multidisciplinary team with experience in heart valve and endovascular therapies and a supportive administration willing to invest in a sophisticated infrastructure.

AB - Background: The US Food and Drug Administration recently approved a transcatheter aortic valve for patients for whom open heart surgery is prohibitively risky. Methods: A multidisciplinary heart valve team partnered with administration to launch a transcatheter aortic valve replacement (TAVR) program. Clinical registries were used to show robust valve caseloads and outcomes at our Veterans Affairs (VA) facility and to project future volumes. A TAVR business plan was approved by the VA leadership as part of a multiphase project to upgrade and expand our surgical facilities. Results: The heart valve team completed a training program that included simulations and visits to established TAVR centers. Patients were evaluated and screened through a streamlined process, and the program was initiated successfully. Conclusions: Establishing a TAVR program at a VA facility requires a multidisciplinary team with experience in heart valve and endovascular therapies and a supportive administration willing to invest in a sophisticated infrastructure.

KW - Aortic stenosis

KW - Cardiac surgery

KW - Transcatheter aortic valve replacement

KW - Valve replacement

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Establishment of a transcatheter aortic valve program and heart valve team at a Veterans Affairs facility

Abstract

Keywords

ASJC Scopus subject areas

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