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TRANSCATHETER AORTIC-VALVE IMPLANTATION TAVI oggi in Toscana

TRANSCATHETER AORTIC-VALVE IMPLANTATION TAVI oggi in Toscana . Sergio Berti Fondazione CNR- Regione Toscana “G. Monasterio ”, Ospedale del Cuore, Massa berti@ftgm.it. TAVI in Toscana: 3.500.000 abitanti 4 centri attivi. TAVI Indications. SEVERE AORTIC STENOSIS :

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TRANSCATHETER AORTIC-VALVE IMPLANTATION TAVI oggi in Toscana

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  1. TRANSCATHETER AORTIC-VALVE IMPLANTATIONTAVI oggi in Toscana Sergio Berti Fondazione CNR- Regione Toscana “G. Monasterio”, Ospedale del Cuore, Massa berti@ftgm.it

  2. TAVI in Toscana: 3.500.000 abitanti 4 centriattivi

  3. TAVI Indications • SEVERE AORTIC STENOSIS : AVA < 0,8 cm² (or AVA index < 0,5 cm²/m²) and mean AVG > 40 mmHg or peak jet velocity > 4.0 m/sec • CARDIAC SYMPTOMS: NYHA Functional Class ≥ II HIGH SURGICAL RISK: Clinical assessment of inoperability determinated by site cardiologist and surgeon Age > 75 years and Logistic Euro SCORE> 20 Age > 85 years and Logistic Euro SCORE> 10

  4. TAVI Indications • SEVERE AORTIC STENOSIS : AVA < 0,8 cm² (or AVA index < 0,5 cm²/m²) and mean AVG > 40 mmHg or peak jet velocity > 4.0 m/sec • CARDIAC SYMPTOMS: NYHA Functional Class ≥ II HIGH SURGICAL RISK: Clinical assessment of inoperability determinated by site cardiologist and surgeon Age > 75 years and Logistic Euro SCORE> 20 Age > 85 years and Logistic Euro SCORE> 10 Bioprosthesis Dysfunction and High Surgical Risk

  5. TAVI regione Toscana anno 2010 Totale 175 casi 52 123

  6. Tipologia di device utilizzati per singolocentro 2010 SIENA MASSA 1 7 33 14 FIRENZE PISA 53 12 55

  7. Tipologia di accessivascolariutilizzati per singolocentro SIENA 3 MASSA 17 1 17 17 13 11 FIRENZE PISA 56 40

  8. Valutazionepreoperatoria Accessotransfemorale Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Firenze Pisa Massa Siena

  9. Valutazionepreoperatoria Accessotransfemorale Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Firenze Pisa Massa Siena Accessotransapicale Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Firenze Pisa Massa Siena

  10. Faseintraoperatoria Accessotransfemorale Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Firenze Pisa Massa Siena

  11. Faseintraoperatoria Accessotransfemorale Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Firenze Pisa Massa Siena Accessotransapicale Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Firenze Pisa Massa Siena

  12. v. preoperatoria Impianto trans-succlavia: Valutazione pre-operatoriaedintervento Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Ch. Vascolare Firenze Pisa Massa Siena

  13. v. preoperatoria Impianto trans-succlavia: Valutazione pre-operatoriaedintervento Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Ch. Vascolare Firenze Pisa Massa Siena intervento Emodinamista Cardiochirurgo Cardio-Anestesista Ecocardiografista/clinico Ch. Vascolare Firenze Pisa Massa Siena

  14. Programmazione regionale

  15. Programmazione regionale Modalità di rimborso

  16. Programmazione regionale Modalità di rimborso DRG 104- 105

  17. TRANSCATHETER AORTIC-VALVE IMPLANTATIONTAVI oggi in Toscana Sergio Berti Fondazione CNR- Regione Toscana “G. Monasterio”, Ospedale del Cuore, Massa berti@ftgm.it

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