Response by Yamamoto et al to Letter Regarding Article, “Impact of the Clinical Frailty Scale on Outcomes After Transcatheter Aortic Valve Replacement”
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We would like to thank Jin-shan and Xue-bin for their kind interest in our recent publication in Circulation.1 Their letter highlights the importance of Clinical Frailty Scale (CFS) assessment before invasive catheter and surgical therapy. Before invasive therapy, regardless of catheter-based or surgical approaches, all patients must undergo preassessment screening to evaluate the safety of the procedure in light of patients’ comorbidities and other clinical variables. The results of the OCEAN-TAVI study (Optimized Catheter Valvular Intervention) suggest that CFS should form part of the preoperative assessment as a means to improve patient outcomes after transcatheter aortic valve replacement (TAVR).
As we previously …