Abstract

Due to the ongoing ageing of the population with increased related co-morbidities, transcatheter interventions are spreading around the first world countries like an unstoppable firewall. Some (the tip of the iceberg) have already established in “normal clinical life” and became very safe procedures for the “modern high-risk patient” with acceptable outcomes over the last decade but many more are just evolving currently being under investigation with first in-man clinical trials.

Highlights

  • Due to the ongoing ageing of the population with increased related co-morbidities, transcatheter interventions are spreading around the first world countries like an unstoppable firewall

  • Interventional cardiologists and cardiac surgeons started to work as a “Heart Valve Team” in order to overcome the respective lack of knowledge and to merge in a complementary way to offer the best possible treatment

  • On the basis of the establishment of a “Heart Centre”, we suggest the implementation of a standardized “Heart Team Meeting” protocol with defined timeframe, leadership, role of team members, discussion culture and process of decision making

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Summary

Letter to the Editor

1) Department of Cardio-Vascular Surgery, University Hospital Zurich Rämistrasse, Zurich, Switzerland 2) University Hospital Zurich, Simulation Center, ETH Zurich Rämistrasse, Zurich, Switzerland 3) Hospital Clinico de Barcelona, Department of Cardiovascular Sugery.

Introduction
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