@tavrkapadia delivering @CleClinicMD Grand Rounds. On #TAVR. Starts by showing how morbid and complex the open surgery is. Many elderly patients are not candidate. Hence #TAVR was developed. #meded 
The team that ensures ZERO percent mortality in #TAVR for any patient coming to @ClevelandClinic with Aortic stenosis. #meded
Heart is NOT stopped! After #tavr can see immediate hemodynamics improvement!
The current available percutaneous aortic valves available for #tavr
Key point: selection of patient ls for #tavr is based on the ANATOMY! There are very specific key exclusion criteria.
A big conundrum in aortic valve replacement is durability of the graft. See great systematic review at @ClevelandClinic #meded #foamed
Shall we consider #tavr for all? YES!!!
