Proposed valve for life benchmarking standards for TAVI
Valve for life benchmarking standards for TAVI | |
1 | Use of sedation with local anaesthesia in ≥95% of cases. |
2 | Use of percutaneous approach in ≥95% of cases. |
3 | Use of trans-femoral access in ≥90% of cases. |
4 | Use of radial artery as second access site in ≥90% of cases. |
5 | Minimalist approach to temporary pacing: pace on the LV wire (no TPW) in ≥90% of cases. |
6 | Avoidance of any additional invasive lines (eg, CVP, arterial lines, urinary catheterisation) wherever possible. |
7 | Standard trans-femoral TAVI list of four or more cases per day. |
8 | Same day admission in ≥50% elective patients. |
9 | Use of level 1 beds only in ≥90% of elective cases. |
10 | Discharge of ≥30% of elective patients within 1 day of procedure. |
11 | Discharge of ≥75% of elective patients within 2 days of procedure. |
CVP, central venous pressure; LV, left ventricle; TAVI, transcatheter aortic valve implantation; TPW, temporary pacing wire.