ReviewKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2026
Introducing palliative care into the management of patients disqualified from transcatheter aortic valve implantation.
Review in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
This narrative review examines when patients disqualified from transcatheter aortic valve implantation (TAVI) should be referred to palliative care, offering practical guidance for Heart Team decision-making. A targeted search of PubMed and Scopus (2010-2025) was conducted, integrating palliative care practice and brief clinical vignettes. Recurrent triggers for palliative referral include advanced frailty likely to limit recovery, multimorbidity with refractory symptoms, patient or family preference for comfort-focused treatment, and anatomical or physiological unsuitability for TAVI confirmed by a multidisciplinary Heart Team. Best-practice themes include early symptom-directed pharmacotherapy, comprehensive psychosocial and spiritual support, explicit documentation of care goals, and coordinated transitions to community or home-based services. Early, structured collaboration among cardiology, cardiac surgery, and palliative medicine can optimise quality of life, minimise futile interventions, and ensure continuity of care in patients with TAVI-ineligible severe aortic stenosis. Prospective studies should validate integration models and quality indicators to ensure their effectiveness.
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