Pushing the Envelope for Transcatheter Valve Interventions in Canada

Transcatheter valve interventions (TVIs) have revolutionized the treatment of structural heart disease, by providing a less invasive option to surgical valve repair or replacement for patients. Canada has been at the forefront of adopting these therapies, yet significant challenges remain. These include expanding indications, training operators, optimizing access, and integrating these rapidly evolving procedures into a government-funded single-access healthcare system. This review explores the current landscape of TVIs in Canada. We discuss the necessity for centres of excellence, training pathways for operators, and the multidisciplinary infrastructure required to ensure equitable and high-quality care.