SCAI 2026 The End of Watchful Waiting: Long Term TAVR Evidence and a New Proactive Paradigm-Discussion 3

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Video Summary

The panel discussed the future of the heart team in TAVR decision-making. They agreed that heart teams remain essential, especially as TAVR expands to younger, lower-risk, and more complex patients. A large registry showed most treated patients were very sick, dispelling concerns that interventionists were “going rogue.” Speakers emphasized that surgeons remain indispensable, particularly for lifetime management decisions and cases of equipoise. Most favored local, multidisciplinary teams reviewing patients, often in clinic and sometimes in meetings, to ensure shared decisions, patient education, and quality care as treatment options become more nuanced.

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closed captions are computer-generated

Keywords

heart team

TAVR decision-making

multidisciplinary care

patient selection

shared decision-making