Clinical Pathway – TAVR – BioTelemetry, a Philips company

TAVR Home Monitoring Pathway

Elevate the standard of care

Elevate and create a new standard of excellence in care with Philips Mobile Cardiac Telemetry - MCOT TAVR Home Monitoring Pathway.

Nearly 1/3 of the transfemoral TAVR patients who died within 30 days post-procedure were after hospital discharge¹

Benefits

Decrease length-of-stay (LOS) ²

Avoid unnecessary PPM implantations ³

Detect DH-AVB post TAVR

Protect patients from potential post-discharge complications, such as sudden death due to delayed high-grade heart block (DH-AVB), that can occur days to weeks after hospital discharge through the implementation of MCOT.

10%

post-TAVR outpatient MCOT detected high-grade heart block.⁴

9%

of patients require placement of PPMs post discharge.⁴

6 days

(Range 3-24 Days)

Median time to develop (DH-AVB) post-procedure.⁴

Philips ECG Solutions

TAVR Home Monitoring Pathway

Philips TAVR Home Monitoring Pathway enables your organization to meet the 2020 ACC Expert Consensus Guidelines on TAVR which recommends post-TAVR outpatient remote monitoring within 48 hours if the patient is without clear pacemaker indications but is at risk for DH-AVB.

CASE STUDY AND WEBINAR

Northwell Health post-TAVR monitoring experience Comprehensive TAVR monitoring program

Learn how Kabir Bhasin, MD, Electrophysiologist and Director of Clinical Education, Lenox Hill Hospital at Northwell Health was able to leverage MCOT post-TAVR monitoring to reduce unnecessary PPM implantation, decrease LOS by 1.6 days and improve overall patient outcomes.

Kabir Bhasin, MD, FACC

Electrophysiologist Director of Clinical Education, Lenox Hill Hospital Northwell Health® New York, NY

Wayne M. Derkac, MD, FACC

Senior Vice President, Medical Affairs BioTelemetry, Inc., a Philips company

Resources

References:
1. Saif Anwaruddin, Nimesh D. Desai, et al. Evaluating Out-of-Hospital 30-Day Mortality After Transfemoral Transcatheter Aortic Valve Replacement: An STS/ACC TVT Analysis Coronary. J Am Coll Cardiol Cardiovasc Interv. 2021 Feb, 14 (3) 261–274
2. Based on Physician Testimonial: Kabir Bhasin, MD, Electrophysiologist and Director of Clinical Education, Lenox Hill Hospital at Northwell Health. Northwell Health post-TAVR Monitoring Experience Comprehensive TAVR monitoring program. BioTelemetry, September 11, 2021 https://www.gobio.com/tavr/.
3. Lilly S, Deshmukh A, Epstein A, et al. 2020 ACC Expert Consensus Decision Pathway on Management of Conduction Disturbances in Patients Undergoing Transcatheter Aortic Valve Replacement: A Report of the American College of Cardiology Solution Set Oversight Committee. Journal of the American College of Cardiology. 2020;76(20):2391-2411. doi:10.1016/j.jacc.2020.08.050
4. Mobile Cardiac Telemetry utilized in this study was the ACT (Ambulatory Cardiac Telemetry) Monitor by BioTel Heart. Reference: 2. Ream K, Sandhu A, Valle J, et al. Ambulatory Rhythm Monitoring to Detect Late High-Grade Atrioventricular Block Following Transcatheter Aortic Valve Replacement. J Am Coll Cardiol. 2019;73(20):2538–2547.

Elevate the standard of care

Detect DH-AVB post TAVR

10%

9%

6 days

Philips ECG Solutions

TAVR Home Monitoring Pathway

Philips TAVR Home Monitoring Pathway enables your organization to meet the 2020 ACC Expert Consensus Guidelines on TAVR which recommends post-TAVR outpatient remote monitoring within 48 hours if the patient is without clear pacemaker indications but is at risk for DH-AVB.

CASE STUDY AND WEBINAR

Northwell Health post-TAVR monitoring experience Comprehensive TAVR monitoring program

Learn how Kabir Bhasin, MD, Electrophysiologist and Director of Clinical Education, Lenox Hill Hospital at Northwell Health was able to leverage MCOT post-TAVR monitoring to reduce unnecessary PPM implantation, decrease LOS by 1.6 days and improve overall patient outcomes.

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