Perspectives
With the development of percutaneous interventions and therapies, the use of combined strategies will increase. This approach may reduce the overall cost for the health care system reducing hospitalizations and the need for staged interventions (30). Moreover, the Heart Team approach will increase collaboration between different subspecialties such as the electrophysiologists, geriatricians, anesthesiologists, echocardiographists and the structural specialists all oriented towards better patient care and outcome. With this approach, in high volume centers, we may expect a decrease in the complication rates, more efficiency and a decrease in costs (31).