BCIS ACI 2020: TAVI Should Now Be the Default Treatment for Patients with Symptomatic Aortic Stenosis

Published: 13 March 2020

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    Clare Appleby, Simon Redwood, Gregg W Stone, Andrew SP Sharp, Rob Butler, Marjan Jahangiri
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Overview

In this video series chairs, Prof Simon Redwood (Guy’s and St Thomas’ NHS Foundation Trust, London, UK) and Dr Clare Appleby (Liverpool Heart and Chest Hospital, Liverpool, UK) ask the question “Should TAVI be the default treatment for patients with symptomatic aortic stenosis?". From BCIS ACI’s audience and introducing the panel of the debate. Further through the series Prof David Hildick-Smith (Sussex Cardiac Centre, Brighton, UK) argues for an interventional approach whilst Prof Marjan Jahangiri (St George's University Hospitals NHS Foundation Trust, London, UK) argues that surgery, SAVR should be considered based on life expectancy in the treatment of patients with symptomatic aortic stenosis. The series concludes with the panel and chairs reflecting on the data and recent arguments delivered. 

This content was provided by the courtesy of BCIS.

More from this programme

Part 1

Introduction and preliminary poll

Chairs, Prof Simon Redwood (Guy’s and St Thomas’ NHS Foundation Trust, London, UK) and Dr Clare Appleby (Liverpool Heart and Chest Hospital, Liverpool, UK) ask the question “Should TAVI be the default treatment for patients with symptomatic aortic stenosis?". From BCIS ACI’s audience and introducing the panel of the debate.

Part 2

Pro Argument

Prof David Hildick-Smith (Sussex Cardiac Centre, Brighton, UK) argues for an interventional approach in the treatment of patients with symptomatic aortic stenosis.

Part 3

Contra Argument

Prof Marjan Jahangiri (St George's University Hospitals NHS Foundation Trust, London, UK) argues that surgery, SAVR should be considered based on life expectancy in the treatment of patients with symptomatic aortic stenosis.

Part 4

Panel Discussion

The panel and the chairs conclude the debate by reflecting on recent data and the arguments delivered by Prof Marjan Jahangiri (St George's University Hospitals NHS Foundation Trust, London, UK) and Prof David Hildick-Smith (Sussex Cardiac Centre, Brighton, UK).

Faculty Biographies

Clare Appleby

Clare Appleby

Dr Clare Appebly is an interventional cardiologist at Liverpool Heart and Chest Hospital, Liverpool, UK. Dr Appleby is an Honorary Secretary of the British Cardiovascular Intervention Society (from Jan 2020).

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Simon Redwood

Simon Redwood

Senior Lecturer and Consultant Interventional Cardiologist

Simon Redwood is a Senior Lecturer and Consultant Interventional Cardiologist at St Thomas’ Hospital, London. He is also Lead Clinician for Research and Development within the Directorate and a Council Member of the British Cardiovascular Interventional Society (BCIS).

 

 

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Gregg W Stone

Gregg W Stone

Professor of Medicine, Professor of Population Health Sciences and Policy, and Director of Academic Affairs

 

Personal History

Dr. Stone grew up in the Shaker Heights suburb of Cleveland, Ohio. His mother was a housewife who had gone to Ohio State University at the age of 15 before meeting his father, who owned an advertising firm. Dr. Stone claims to have had an innate curiosity for how things work from a very young age, which led him to research science and conduct experiments throughout his youth in the home chemistry lab of his parents’ garage. He met his wife, Dr. Amy E. Stone, MD, whilst completing his cardiology fellowship at Cedars-Sinai Medical Centre in Los Angeles. Dr. Gregg Stone currently resides in Greenwich, Connecticut. 

Academic History

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Andrew SP Sharp

Andrew SP Sharp

Consultant Cardiologist

Prof Andrew Sharp qualified from Edinburgh Medical School in 1998. He conducted his senior clinical training at Imperial College Hospitals and San Raffaele Hospital, Milan, before being appointed in 2011 as a Consultant Cardiologist and Honorary Senior Lecturer at the Royal Devon and Exeter Hospital and University of Exeter. Professor Sharp was awarded an MD postgraduate research degree for his work on the hypertensive heart whilst at Imperial College and now leads a growing research programme at the Royal Devon and Exeter Hospital in the fields of hypertension, renal denervation, ischaemic heart disease, intra-coronary imaging, coronary physiology, pulmonary embolus and aortic valve disease.

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Rob Butler

Rob Butler

Dr Butler was appointed in 2003, he works in a major regional cardiac centre in Stoke-On-Trent, where the catchment for tertiary cardiology is nearly 2 million people across Staffordshire, Shropshire and Cheshire.

A substantial amount of his workload is treating angina and heart attack patients.

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Marjan Jahangiri

Marjan Jahangiri

Marjan Jahangiri FRCS is a Professor of Cardiac Surgery at St. George's Hospital, University of London. She was the first woman to be appointed professor of cardiac surgery in the United Kingdom and Europe.

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