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).