Implementing Multidisciplinary Service in Transcatheter Aortic Valve Implementation Management

Abstract

Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive procedure performed for patients with severe aortic stenosis who are at high or intermediate surgical risk. Despite its increasing use worldwide, TAVI outcomes are highly dependent on the integration of coordinated, multidisciplinary care. This project proposes the establishment of a multidisciplinary TAVI service in Lebanon to hospitals in order to address the complicated needs of TAVI patients, with the goals of improving patient care, clinical results, and care efficiency. The plan emphasizes teamwork between cardiologists, cardiac surgeons, advanced practice nurses, anesthesiologists, and other allied healthcare workers at every stage of care, starting from the pre-operative phase to the post-operative discharge phase. An advanced practice registered nurse leads the model, facilitating communication between team members, patient evaluation, and treatment coordination. The service’s key elements are organized preoperative assessment and risk stratification, standardized intraoperative procedures for a minimally invasive approach, thorough post-operative monitoring, patient education, and follow-up care. The plan integrates well-established multidisciplinary TAVI procedures, such as the Vancouver and Enhanced Recovery After Surgery (ERAS) protocols, and is based on evidence-based recommendations. The suggested TAVI service aims to enhance patient safety, lower readmissions and complications, and promote the efficient use of hospital resources via the use of a multidisciplinary approach for TAVI management. This initiative demonstrates the vital role of collaborative, nurse-led coordination in the treatment of complicated cardiac transcatheter interventions and serves as a template for enhancing TAVI treatment in Lebanon.