Double Duty: Maximizing Impact with Concomitant Interventions - 2025 Quality Summit Presentation (Non-CE)-Double Duty: Maximizing Impact with Concomitant Interventions

Video Transcription

Video Summary

The session focused on concomitant procedures during structural heart interventions like TAVR, mitral, and tricuspid valve repairs. Early TAVR days were challenging with limited staff, but volumes and procedural complexity have grown, leading to discussions about combining procedures (e.g., PCI, pacemaker implantation, LAO) done simultaneously. Physician consensus generally favors performing necessary interventions prior to TAVR rather than concurrently, except in rare justified cases clearly documented, partly due to risk and reimbursement factors.<br /><br />Public reporting for TAVR outcomes operates on a rolling three-year basis but may shift to annual reporting as programs mature. Data transparency varies by institution, with some states or health systems sharing unblinded data for benchmarking. Patient follow-up including KCCQ questionnaires at 30 days and one year is critical to assessing long-term outcomes. Innovations like integrating KCCQ into electronic health records aim to improve response rates despite challenges.<br /><br />Discussions highlighted evolving best practices—such as decreasing reliance on invasive diagnostic caths in favor of coronary CT angiography, staged procedural planning, and optimizing resource use amid growing case volumes. The emphasis remains on heart team collaboration, careful patient evaluation, and precise data collection to inform quality care and future procedural developments. The registry is actively harmonizing data elements with other cardiac databases and seeking to streamline processes for sustainability and accuracy.

Keywords

Cath PCI

intravascular imaging

cardiovascular care

percutaneous coronary intervention

IVUS

OCT

stent placement

coronary CT angiography

CTFFR

TAVR

structural heart interventions

mitral valve repair

tricuspid valve repair

concomitant procedures

public reporting

KCCQ questionnaires

heart team collaboration