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TAVR in patients with hip fracture and severe aortic stenosis: how and when?

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Abstract

Comorbidities are common in elderly patients with hip fracture and are associated with an increased mortality after surgery. Internal medicine/geriatric leaded multidisciplinary hip fracture teams may play a pivotal role in the clinical management of complex patients. Treatment strategy is particular relevant in patients with severe aortic stenosis that represent more than 5% of patients with hip fracture. These patients have a high in-hospital mortality and poor 1-year survival (less than 50%). Transcatheter aortic valve replacement (TAVR) may be an option in selected patients; however, the choice to treat and, in the case, the timing of valve replacement in relation to hip surgery is highly dependent on clinical conditions before trauma. In this paper, three different scenario of TAVR timing after hip fracture are reported.

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Authors and Affiliations

  1. Dipartimento Medicina Sperimentale e Clinica, Università di Firenze, Viale Morgagni 85, 50134, Florence, Italy

    Carlo Rostagno, Giorgia Falchetti & Andrea Carlo Rostagno

  2. Cardiologia Interventistica AOU Careggi, 50134, Florence, Italy

    Alessio Mattesini

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  1. Carlo Rostagno
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  2. Giorgia Falchetti
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  3. Andrea Carlo Rostagno
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  4. Alessio Mattesini
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Correspondence to Carlo Rostagno.

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All procedure performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained at hospital admission.

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The study is part of a project of Italian Health Ministry and Regione Toscana- RF-2010-2316600.

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Rostagno, C., Falchetti, G., Rostagno, A.C. et al. TAVR in patients with hip fracture and severe aortic stenosis: how and when?. Intern Emerg Med 16, 1419–1422 (2021). https://doi.org/10.1007/s11739-021-02752-6

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  • DOI: https://doi.org/10.1007/s11739-021-02752-6

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