Transcatheter aortic valve implantation: the transfemoral access route is the default access

2013 ◽  
Vol 9 (S) ◽  
pp. S14-S18 ◽  
Author(s):  
Stefan Stortecky ◽  
Crochan J. O’Sullivan ◽  
Lutz Buellesfeld ◽  
Stephan Windecker ◽  
Peter Wenaweser
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Access Route ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Do Outcomes from Transcatheter Aortic Valve Implantation Vary According to Access Route and Valve Type? The UK TAVI Registry

2013 ◽  
Vol 27 (1) ◽  
pp. 86-95 ◽  
Author(s):  
DANIEL J. BLACKMAN ◽  
PAUL D. BAXTER ◽  
CHRIS P. GALE ◽  
NEIL E. MOAT ◽  
PHILIP A. MACCARTHY ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Access Route ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
The Uk ◽  
Valve Implantation

Access routes and the transcatheter aortic valve implantation procedure

2018 ◽  
pp. 583-588
Author(s):  
Corrado Tamburino ◽  
Claudia Ina Tamburino ◽  
Sebastiano Immè
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Access Route ◽  
Access Site ◽  
Transcatheter Aortic Valve ◽  
Alternative Approach ◽  
Edwards Sapien ◽  
Aortic Valve Implantation ◽  
Valve Implantation ◽  
Implantation Procedure

When performing transcatheter aortic valve implantation (TAVI), the access route of choice is transfemoral (TF) access since it is less invasive compared to other approaches and it is feasible in the majority of patients undergoing this procedure. Although new devices with smaller sheath sizes are available for TF-TAVI, a minority of patients still do not represent good candidates for this access route and, because of unfavourable iliofemoral arteries, need an alternative approach. Among the access site options are the transapical, direct aortic, transaxillary, or subclavian and, less frequently, transcarotid approaches. Moreover, when TF access is not feasible, the most common approaches are the transapical for the balloon-expandable Edwards SAPIEN XT valve, the subclavian for the Medtronic self-expandable CoreValve, and the transaortic for both prostheses. This chapter provides a detailed overview of all the access sites available for TAVI.

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