The Preoperative Assessment of Frailty in the Setting of Transcatheter Aortic Valve Implantation (TAVI): A Systematic Review
摘要
Increasing evidence in the literature suggests the assessment of the frailty in the patients before the transcatheter aortic valve implantation (TAVI), but there is still a matter of debate about the standardized method to be used. We searched online the medical literature database (PubMed) from 2006 to 2023, covering the 17-year period that marked the development of the minimally invasive approach. We retrieved n.218 articles and 64 studies were evaluated. The preoperative assessment of frailty in the setting of the TAVI is a key point of the evaluation by the heart team in order to identify the patients at low or high risk of complications after surgery and to support the clinical decision in allocating the health care resources.