Kempton, Hannah and Hall, Rachael and Hungerford, Sara L. and Hayward, Christopher S. and Muller, David W. M. (2024) Frailty and transcatheter valve intervention: A narrative review. Catheterization and Cardiovascular Interventions, 104 (1). pp.155-166. ISSN 1522-1946
Full text not available from this repository.Abstract
Frailty is a common clinical syndrome that portends poor peri-procedural outcomes and increased mortality following transcatheter valve interventions. We reviewed frailty assessment tools in transcatheter intervention cohorts to recommend a pathway for preprocedural frailty assessment in patients referred for transcatheter valve procedures, and evaluated current evidence for frailty interventions and their efficacy in transcatheter intervention. We recommend the use of a frailty screening instrument to identify patients as frail, with subsequent referral for comprehensive geriatric assessment in these patients, to assist in selecting appropriate patients and then optimizing them for transcatheter valve interventions. Interventions to reduce preprocedural frailty are not well defined, however, data from limited cohort studies support exercise-based interventions to increase functional capacity and reduce frailty in parallel with preprocedural medical optimization.
| Item Type: | Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Depositing User: | Repository Administrator |
| Date Deposited: | 23 Dec 2024 04:10 |
| Last Modified: | 23 Dec 2024 04:10 |
| URI: | https://eprints.victorchang.edu.au/id/eprint/1561 |
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