Abstract
Cardiovascular disease encompasses coronary artery disease and valvular heart disease,
and the prevalence of both increases with age. Over the past decade, the landscape
of interventional cardiology has evolved to encompass a new set of percutaneous procedures
outside the coronary tree, including transcatheter aortic valve implantation, transcatheter
mitral valve repair, and left atrial appendage occlusion. These interventions have
sparked a new discipline within interventional cardiology referred to as structural
heart disease (SHD) intervention. The access to and numbers of such procedures performed
in Canada is currently unknown. This “first of its kind” survey of structural interventions
provides insight into the landscape of SHD intervention in Canada and the challenges
faced by cardiologists to deliver this important care.
Résumé
La prévalence de la maladie cardiovasculaire, qui englobe la coronaropathie et la
valvulopathie, augmente avec l’âge. Au cours de la dernière décennie, le paysage de
la cardiologie interventionnelle a évolué et compte maintenant un nouvel ensemble
d’interventions par voie percutanée en dehors de l’arbre coronarien, dont le remplacement
valvulaire aortique par cathéter, la réparation valvulaire mitrale par cathéter et
l’occlusion de l’appendice auriculaire gauche. Ces interventions ont fait apparaître
une nouvelle discipline au sein de la cardiologie interventionnelle que l’on nomme
« interventions de la cardiopathie structurelle (CS) ». L’accès à ces interventions
et le nombre d’interventions réalisées au Canada demeurent inconnus. Cette enquête
sur les interventions de la CS est la première en son genre qui offre un aperçu du
paysage des interventions de la CS au Canada et les difficultés auxquelles font face
les cardiologues pour offrir ces soins importants.
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References
- Canada's population estimates: Age and sex, July 1, 2015.(Available at:) (Accessed September 30, 2016)
- Transcatheter aortic valve implantation: a Canadian Cardiovascular Society position statement.Can J Cardiol. 2012; 28: 520-528
- Multisociety (AATS, ACCF, SCAI, and STS) expert consensus statement: operator and institutional requirements for transcatheter valve repair and replacement, part 1: transcatheter aortic valve replacement.J Am Coll Cardiol. 2012; 59: 2028-2042
- Interventional fellowship in structural and congenital heart disease for adults.JACC Cardiovasc Interv. 2010; 3: e1-e15
Article Info
Publication History
Published online: December 13, 2016
Accepted:
December 6,
2016
Received:
November 3,
2016
Footnotes
See page 1200 for disclosure information.
Identification
Copyright
© 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
