Abstract
An effective system for the evaluation and management of patients with severe aortic stenosis (AS) requires a multilevel, graduated approach to identify patients with disease and refer them for therapy in a timely and efficient manner. The key guiding principle for a transcatheter aortic valve implantation (TAVI) center is to adopt a multidisciplinary and patient-centered approach that integrates the care of patients with AS, using guidelines published by large subspecialty groups as the framework for program development and individualized patient management. Ideally, care of adults with AS is integrated across health care systems, with patients moving seamlessly and efficiently between different tiers of care, while coordinating with the diverse primary care and subspecialty providers needed in management of AS patients, who often are older and have multiple comorbid cardiac and noncardiac conditions.
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