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SCAI 2026 The End of Watchful Waiting: Long Term T ...
Discussion 3
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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Keywords
heart team
TAVR decision-making
multidisciplinary care
patient selection
shared decision-making
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