Table 1

Factors to consider doing differently along the patient pathway for AS during the COVID-19 crisis

Phase of patient pathway	Alterations to practice during the COVID-19 crisis
Case selection	Review TAVI waiting list and triage for highest risk.
	Review sAVR waiting list.
	Convert intermediate risk patients to TAVI if appropriate.
	Convert low-risk patients to TAVI only with Heart Team consensus.
	Consider risk to patient of nosocomial COVID-19 infection.
TAVI work-up	Avoid TOE.
	Use CTCA instead of invasive coronary angiography.
	Consider risk to patient of COVID-19 when attending for tests.
	Do all tests in a single attendance.
Procedure	Keep it simple.
	Use devices the operator/team is familiar with.
	Transfemoral procedures only.
	Consider appropriateness/ethics of surgical bail-out.
Post-TAVI	Early safe discharge.
Post-TAVI	No need for follow-up echo until 6 months.

CTCA, CT coronary angiogram; sAVR, surgical valve replacement ; TAVI, transcatheter aortic valve implantation; TOE, transoesophageal echo.