https://doi.org/10.1177/1474515117738991
European Journal of Cardiovascular Nursing
1–9
© The European Society of Cardiology 2017
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DOI: 10.1177/1474515117738991
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Introduction
Aortic stenosis (AS) is a valvular heart disease that affects
about 3% of adults aged 75 years and older.
1,2
When left
untreated, life expectancy is two to four years once patients
become symptomatic.
2
Transcatheter aortic valve implan-
tation (TAVI) is the treatment of choice for frail, older
adults and is increasingly recommended for patients at
intermediate surgical risk.
3
To date, multiple clinical trials
and other studies have demonstrated improved mortality,
Understanding experiences of
undergoing transcatheter aortic valve
implantation: one-year follow-up
Jennifer Baumbusch
1
, Sandra B Lauck
2
, Leslie Achtem
2
,
Tamar O’Shea
1
, Sarah Wu
3
and Davina Banner
4
Abstract
Background: Transcatheter aortic valve implantation (TAVI) is the treatment of choice for frail, older adults with
severe symptomatic aortic stenosis. Although research about long-term clinical outcomes is emerging, there is
limited evidence from the perspectives of patients and family caregivers on their perceived benefits and challenges
after TAVI.
Aims: The aim of this study was to describe older adults and family caregivers’ perspectives on undergoing TAVI at one
year post-procedure.
Methods: Qualitative description was the method of inquiry. A purposive sample of 31 patients and 15 family caregivers
was recruited from a TAVI programme in western Canada. Semi-structured interviews were conducted with participants
one year after TAVI. Data were analysed thematically.
Results: All participants were satisfied with the decision to undergo TAVI. There were three central themes. First,
recovery was experienced in the context of aging and comorbidities, which was shaped by patients’ limited options
for care and post-procedure symptom burden. Second, reconciling expectations with reality meant that, for some
patients, symptom burden remained prevalent and was also influenced by others’ expectations. Third, recommendations
for recovery related to having information needs met, keeping informed of evolving care processes, and addressing
individualised needs for support.
Conclusions: The perspectives of participants provide a valuable contribution to the literature about undergoing TAVI.
Clinicians need to be attentive to patients’ expectations of benefit and temper these with consideration of the individual’s
broader health situation to provide treatment decision support. Patients and family caregivers also need adequate
teaching and support to facilitate safe transition home given the shift towards early discharge after TAVI.
Keywords
Aortic stenosis, transcatheter aortic valve implantation (TAVI), patient experience, caregiver experience, qualitative
Date received: 5 March 2017; accepted: 5 October 2017
1
School of Nursing, University of British Columbia, Canada
2
St Paul’s Hospital, Vancouver, Canada
3
Department of Kinesiology, University of Waterloo, Canada
4
School of Nursing, University of Northern British Columbia, Canada
Corresponding author:
Jennifer Baumbusch, School of Nursing, University of British Columbia,
T201 – 2211 Wesbrook Mall, Vancouver, British Columbia V6T 2B5,
Canada.
Email: jennifer.baumbusch@nursing.ubc.ca
738991CNU 0 0 10.1177/1474515117738991European Journal of Cardiovascular NursingBaumbusch et al.
research-article 2017
Article