Procedure names

I assume that this procedure is always done with fluoroscopic guidance. The odd thing is that when I did a search on Google for "Percutaneous replacement of aortic valve using fluoroscopic guidance" I got only 954 hits. Using "Percutaneous replacement of aortic valve" I got 9,040 hits. The surgery is typically called transcatheter aortic valve replacement (TAVR) or transcatheter aortic valve implantation (TAVI). A search on TAVI resulted with 9,160,000 and TAVR with 787,000 hits. Neither of these acronyms are in the current international release.

I have received reports in my office for the procedure "Percutaneous aortic valve replacement (PAVR), also known as transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR). SNOMED has the concept did not include "using fluoroscopic guidance" as part of the procedure name. The only entry in SNOMED for this is "Percutaneous replacement of aortic valve using fluoroscopic guidance (procedure)".

I guess it depends on the editorial policy whether or not the "using fluoroscopic guidance" should be included as part of the procedure name.

Since the usual clinical practice with procedure reports is to not include "using fluoroscopic guidance" users may feel that the longer name is an overspecification and may be reluctant to select this as the appropriate concept. The acronyms TAVI and TAVR are not in the current release of SCT.

Any Comments?