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Evidence to Improve Care

Transcatheter Aortic Valve Implantation in Patients With Severe, Symptomatic Aortic Valve Stenosis at Intermediate Surgical Risk

 

Draft Recommendation

  • Health Quality Ontario, under the guidance of the Ontario Health Technology Advisory Committee, recommends publicly funding transcatheter aortic valve implantation (TAVI) in patients with severe, symptomatic aortic valve stenosis who are at intermediate surgical risk

Read the draft recommendation report

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This topic is now available for public feedback until December 20, 2018. Please feel free to forward this page to any individual you think may be interested in reviewing this assessment. All comments will be considered before a final recommendation is made and posted here.

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Aortic valve stenosis is a common heart disease when the aortic valve in the heart has narrowed, causing the heart to work harder to pump blood to the body.

The usual treatment is to replace the damaged valve with an artificial one through open-heart surgery -- known as surgical aortic valve replacement. Another option, called transcatheter aortic valve implantation, is a less invasive procedure that may benefit people who are too frail for open heart surgery. This procedure involves going through an artery, most commonly in the leg, to place an artificial valve inside the damaged one.

Health Quality Ontario looked at how safe and effective transcatheter aortic valve implantation is for people with severe aortic valve stenosis who are at intermediate risk for surgery (which means at increased risk of dying within 30 days of a surgical valve replacement). We also looked at the cost-effectiveness and budget impact of publicly funding this procedure for people at this risk level, and we talked with people with aortic stenosis to learn about their experiences, preferences and values.

Read the full Health Technology Assessment report for more information.


Transcatheter Aortic Valve Implantation in Patients With Severe, Symptomatic Aortic Valve Stenosis at Intermediate Surgical Risk: A Health Technology Assessment (PDF)
November 2018


Related Resources

Transcatheter Aortic Valve Implantation for Treatment of Aortic Valve Stenosis
November 2016


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We reviewed evidence on the use of transcatheter aortic valve implantation in patients with severe, symptomatic aortic valve stenosis at intermediate surgical risk. Read the latest draft recommendation from Health Quality Ontario and share your feedback.

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Date posted: November 30, 2018
Closing date for public comment: December 20, 2018




Health Technology Assessment at Health Quality Ontario

As part of our core function to promote health care supported by the best available evidence, we use established scientific methods to analyze the evidence for a wide range of health interventions, including diagnostic tests, medical devices, interventional and surgical procedures, health care programs and models of care. These analyses are informed by input from a range of individuals, including patients and clinical experts. The Ontario Health Technology Advisory Committee — a committee of the Health Quality Ontario board of directors — reviews the evidence and makes recommendations about whether health care interventions should be publicly funded or not. Draft recommendations are posted on the Health Quality Ontario website for feedback. Final recommendations are approved by our board of directors and then shared with the Ministry of Health and Long-Term Care. For more detailed information, visit our Evidence to Improve Care pages.


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