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Canadian Journal of Cardiology

Structural Heart Disease Intervention: The Canadian Landscape

Published:December 13, 2016DOI:https://doi.org/10.1016/j.cjca.2016.12.005

      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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