Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation

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Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation. / Schofer, Niklas; Deuschl, Florian; Conradi, Lenard; Lubos, Edith; Schirmer, Johannes; Reichenspurner, Hermann; Blankenberg, Stefan; Treede, Hendrik; Schäfer, Ulrich.

In: J THORAC DIS, Vol. 7, No. 9, 09.2015, p. 1543-1547.

Research output: SCORING: Contribution to journalSCORING: Review articleResearch

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@article{1f32b9c95f8c4dcfb07367729a3e3610,
title = "Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation",
abstract = "Transcatheter aortic valve implantation (TAVI) has gained widespread acceptance as a treatment option for patients at high risk for conventional aortic valve replacement. The most commonly used access site for TAVI is the common femoral artery. Yet, in a significant number of patients the transfemoral access is not suitable due to peripheral vascular disease of the lower extremity. In these cases the transaxillary approach can serve as an alternative implantation route. By considering the anatomical requirements and providing an adequate endovascular {"}safety-net{"} during the procedure the transaxillary TAVI approach results in excellent procedural and clinical outcome. However, whether the transaxillary access for TAVI is superior to other non-transfemoral approaches (e.g., transapical or direct aortic) needs to be studied in the future in a prospective randomized trial. ",
author = "Niklas Schofer and Florian Deuschl and Lenard Conradi and Edith Lubos and Johannes Schirmer and Hermann Reichenspurner and Stefan Blankenberg and Hendrik Treede and Ulrich Sch{\"a}fer",
year = "2015",
month = sep,
doi = "10.3978/j.issn.2072-1439.2015.07.27",
language = "English",
volume = "7",
pages = "1543--1547",
journal = "J THORAC DIS",
issn = "2072-1439",
publisher = "Pioneer Bioscience Publishing Company (PBPC)",
number = "9",

}

RIS

TY - JOUR

T1 - Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation

AU - Schofer, Niklas

AU - Deuschl, Florian

AU - Conradi, Lenard

AU - Lubos, Edith

AU - Schirmer, Johannes

AU - Reichenspurner, Hermann

AU - Blankenberg, Stefan

AU - Treede, Hendrik

AU - Schäfer, Ulrich

PY - 2015/9

Y1 - 2015/9

N2 - Transcatheter aortic valve implantation (TAVI) has gained widespread acceptance as a treatment option for patients at high risk for conventional aortic valve replacement. The most commonly used access site for TAVI is the common femoral artery. Yet, in a significant number of patients the transfemoral access is not suitable due to peripheral vascular disease of the lower extremity. In these cases the transaxillary approach can serve as an alternative implantation route. By considering the anatomical requirements and providing an adequate endovascular "safety-net" during the procedure the transaxillary TAVI approach results in excellent procedural and clinical outcome. However, whether the transaxillary access for TAVI is superior to other non-transfemoral approaches (e.g., transapical or direct aortic) needs to be studied in the future in a prospective randomized trial.

AB - Transcatheter aortic valve implantation (TAVI) has gained widespread acceptance as a treatment option for patients at high risk for conventional aortic valve replacement. The most commonly used access site for TAVI is the common femoral artery. Yet, in a significant number of patients the transfemoral access is not suitable due to peripheral vascular disease of the lower extremity. In these cases the transaxillary approach can serve as an alternative implantation route. By considering the anatomical requirements and providing an adequate endovascular "safety-net" during the procedure the transaxillary TAVI approach results in excellent procedural and clinical outcome. However, whether the transaxillary access for TAVI is superior to other non-transfemoral approaches (e.g., transapical or direct aortic) needs to be studied in the future in a prospective randomized trial.

U2 - 10.3978/j.issn.2072-1439.2015.07.27

DO - 10.3978/j.issn.2072-1439.2015.07.27

M3 - SCORING: Review article

C2 - 26543600

VL - 7

SP - 1543

EP - 1547

JO - J THORAC DIS

JF - J THORAC DIS

SN - 2072-1439

IS - 9

ER -