Rural United States Experience of Incorporation of a Technologically Advanced and Procedurally Complex Cardiovascular Program - the Sanford Trans-Catheter Aortic Valve Replacement Experience

Tomasz Stys; Adam Stys; Amol Raizada; Verlyn Nykamp; David Maziarz; Angelo Santos; Chad Laurich; Orvar Jonsson; Jamal Dodin; Terezia Petraskova; Maria Molga

Rural United States Experience of Incorporation of a Technologically Advanced and Procedurally Complex Cardiovascular Program - the Sanford Trans-Catheter Aortic Valve Replacement Experience

S D Med. 2016 Aug;69(8):351-357.

Authors

Tomasz Stys^{1

2}, Adam Stys^{1

2}, Amol Raizada^{1

2}, Verlyn Nykamp^{1

2}, David Maziarz^{1

2}, Angelo Santos^{1

2}, Chad Laurich^{1

2}, Orvar Jonsson^{1

2}, Jamal Dodin^{1

2}, Terezia Petraskova^{1

2}, Maria Molga^{1

2}

Affiliations

¹ Sanford Heart Hospital, Sioux Falls, South Dakota.
² University of South Dakota Sanford School of Medicine.

PMID: 28806003

Abstract

Trans-catheter aortic valve replacement (TAVR) was approved by the U.S. Food and Drug Administration in 2012 for treatment of severe symptomatic aortic stenosis in non-surgical and high risk patients. Implementation of this complex procedure requires a comprehensive heart team approach. Rural demographics in the Midwest pose many challenges related to low volumes of operations both at institutional and individual levels, leading to serious concerns about the quality of care delivered in such a setting. We compared the TAVR data at the University of South Dakota Sanford Medical Center to the national registry with the aim of looking at differences in outcomes of this procedure in a rural setting.

MeSH terms

Aged, 80 and over
Aortic Valve Stenosis / surgery*
Female
Humans
Male
Patient Care Team
Program Evaluation
Rural Population*
South Dakota
Transcatheter Aortic Valve Replacement*
Treatment Outcome