1. Anita W. Asgar MD, FRCPC, FACC Montreal Heart Institute
Transcatheter Aortic Valve Implantation: An Example of Patient Centered Decision Making and Focus on QoL
Anita W. Asgar MD, FRCPC, FACC
Montreal Heart Institute

2. Aortic Stenosis
Degenerative disease of the aortic valve resulting in valvular obstruction and symptoms of shortness of breath and chest pain
Requires replacement of the valve to restore function and improve symptoms

3. Transcatheter Aortic Valve Implantation
Current standard of care in high risk patients with aortic stenosis is valve replacement using a percutaneous procedure to implant a new aortic valve by catheter - TAVI

4. Traditional Medical Approach
Disease
PATIENT
DIAGNOSIS
TREATMENT
HOSPITAL

5. Traditional Medical Approach
Aortic Stenosis
Elderly
PATIENT
DIAGNOSIS
Surgical valve replacement/TAVI
HOSPITAL
Stay/ convalescence

6. Patient Centered Approach
The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions."

7. Traditional Medical Approach
Disease
PATIENT
DIAGNOSIS
TREATMENT
HOSPITAL
Patient Centered Approach

8. Patient Centered Approach
DISEASE
DIAGNOSIS
TREATMENT
HOSPITAL
QUALITY OF LIFE

9. Patient Centered Approach
Aortic Stenosis
DIAGNOSIS
TAVI vs. Surgery
Short Hospital Stay
Quality of LIFE

11. Panel Dr. Daniel Jackson, Edwards Lifesciences
Dr. Sandra Lauck, St. Paul’s Hospital
Dr. Rima Styra, UHN
Ms. Judy Duffy, Patient