Current state of alternative access for transcatheter aortic valve implantation

EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Jonas LanzStephan Windecker

Abstract

The transfemoral (TF) route constitutes the undisputed default access for transcatheter aortic valve implantation (TAVI). In patients in whom anatomical constraints preclude a TF approach, several alternative access routes have been used. Transthoracic (transapical and transaortic) access routes show higher mortality and bleeding complication rates than the TF approach, which is attributable to the higher baseline risk of the selected patients and the more invasive nature of these procedures. Alternative transarterial approaches (transaxillary, transcarotid, transinnominate) have demonstrated high technical success rates and a favourable safety profile in selected patients and are particularly valuable in the presence of poor respiratory function or previous cardiothoracic surgery. The transcaval approach is an innovative fully percutaneous approach that allows the introduction of large-bore sheaths and shows promising results in high-risk patients. Diligent procedural planning, appropriate patient selection and the expertise of the Heart Team allow the achievement of an adequate safety and efficacy profile of TAVI performed via alternative access. Future studies incorporating standardised and independent outcome assessment are...Continue Reading

References

May 9, 2006·The Journal of Thoracic and Cardiovascular Surgery·Jian YeJohn G Webb
Apr 13, 2010·The Journal of Thoracic and Cardiovascular Surgery·Thomas ModineArnaud Sudre
Jul 20, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas WaltherGerhard Wimmer-Greinecker
Jul 27, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Manolis VavuranakisChristodoulos Stefanadis
Oct 22, 2010·The New England Journal of Medicine·Martin B LeonUNKNOWN PARTNER Trial Investigators
Jun 7, 2011·The New England Journal of Medicine·Craig R SmithUNKNOWN PARTNER Trial Investigators
Aug 3, 2011·Seminars in Thoracic and Cardiovascular Surgery·Thomas WaltherJörg Kempfert
Feb 2, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas WaltherOlaf Wendler
May 4, 2012·The New England Journal of Medicine·Martine GilardUNKNOWN FRANCE 2 Investigators
Jun 26, 2012·Journal of the American College of Cardiology·Anna Sonia PetronioAntonio Colombo
Aug 14, 2012·Journal of the American College of Cardiology·Philippe GénéreuxUNKNOWN PARTNER Trial Investigators
Jan 1, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Tine E PhilipsenJohan M Bosmans
Jan 25, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas WaltherOlaf Wendler
Sep 18, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Vinayak N Bapat, Giuseppe Bruschi
Jan 1, 2014·Journal of Interventional Cardiology·Daniel J BlackmanUNKNOWN National Institute for Cardiovascular Outcomes Research (NICOR)
Jan 23, 2014·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Giuseppe BruschiLuigi Martinelli
Mar 25, 2014·Journal of the American College of Cardiology·Jeffrey J PopmaUNKNOWN CoreValve United States Clinical Investigators
May 13, 2014·Journal of the American College of Cardiology·Adam B GreenbaumRobert J Lederman
May 24, 2015·The Annals of Thoracic Surgery·Ben DunneRobert Larbalestier
May 27, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Cristina CiucaFrancesco Saia
Aug 4, 2015·The Annals of Thoracic Surgery·Vinod H ThouraniMichael Mack
Aug 11, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mir Babar BasirWilliam O'Neill
Sep 12, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert J LedermanAdam B Greenbaum
Sep 19, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Holger Eggebrecht, Rajendra H Mehta
Mar 12, 2016·JACC. Cardiovascular Interventions·Darren MylotteThomas Modine
Apr 5, 2016·The New England Journal of Medicine·Martin B LeonUNKNOWN PARTNER 2 Investigators
Apr 27, 2016·The Annals of Thoracic Surgery·Takashi MurashitaVerghese Mathew
May 25, 2016·The Journal of Thoracic and Cardiovascular Surgery·Rakesh M SuriEugene H Blackstone

❮ Previous
Next ❯

Citations

Dec 21, 2018·Circulation. Cardiovascular Interventions·Fabien Praz, Peter Wenaweser
Jan 15, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Yong ZhanAndrew Weintraub
Jul 17, 2020·General Thoracic and Cardiovascular Surgery·Yong ZhanFrederick Y Chen
Jun 12, 2020·European Heart Journal Supplements : Journal of the European Society of Cardiology·Nicola BuzzattiOttavio Alfieri
Oct 7, 2020·Expert Review of Cardiovascular Therapy·Alessandra LaricchiaAntonio Mangieri
Apr 21, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Nicolas DebryUNKNOWN Collaborators
Dec 8, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Joris F OomsNicolas M Van Mieghem
Aug 31, 2021·Journal of Cardiac Surgery·Michele Di MauroRoberto Lorusso
Mar 31, 2020·The Journal of Thoracic and Cardiovascular Surgery·Peter StachonConstantin von Zur Mühlen
Jan 31, 2022·JACC. Cardiovascular Interventions·Daijiro TomiiThomas Pilgrim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.