Optimisation of TAVI: is it mature enough to be defined as a PCI-like procedure?

In recent years, transcatheter aortic valve implantation (TAVI) has been demonstrated to be at least as effective as surgical aortic valve replacement in high-risk patients with severe symptomatic aortic stenosis. Today, the procedure is highly standardised and reproducible, and one of the most debated issues is whether TAVI is ready to be simplified. In experienced centres, a simplified or minimalist approach to TAVI is already routine and it has been shown to be as safe and effective as the more traditional approach in selected patients.