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January 24/31, 2017

The Ethics of Interventional Procedures for Patients Too Ill for Surgery

Author Affiliations
  • 1Cardiac Surgery Intensive Care Unit, Cedars-Sinai Heart Institute, Los Angeles, California
  • 2Cardiac Catheterization Laboratory, Cedars-Sinai Heart Institute, Los Angeles, California
  • 3Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California
JAMA. 2017;317(4):359-360. doi:10.1001/jama.2016.20288

Nonoperative interventional procedures are increasingly viable options for patients considered too ill for surgery. The long-term benefits of catheter-based interventions such as aortic valve replacements or stents for aortic aneurysms and dissections are favorable and continue to be elucidated. In particular, the substantially reduced morbidity attributable to catheter-based interventions makes these procedures compelling options for high-risk patients who may not survive open operations.