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June 1, 2013

Transapical aortic valve implantation: a reasonable therapeutic option, but not the only alternative to transfemoral approach.

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Key result

Transcatheter aortic valve implantation has become a standard treatment for patients who are unsuitable or at high risk for surgical aortic valve replacement.

Population

Patients with severe aortic stenosis who are unsuitable or high-risk for surgical aortic valve replacement.

Comparison

Transapical transcatheter aortic valve… vs Transfemoral TAVI and other alternative approaches

Design

Editorial

Authors

SNStéphane Noble

Discussion

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Overview

Affirms TAVI as standard for high-risk patients; leaves open access-route optimization as systems evolve.

Structured PICO

P
Population
Patients with severe aortic stenosis who are unsuitable (cohort B) or high-risk (cohort A) for surgical aortic valve replacement.
I
Intervention
Transapical transcatheter aortic valve implantation (TAVI)
C
Comparator
Transfemoral TAVI and other alternative approaches (subclavian, direct aortic)

While transapical TAVI is a valid alternative to the transfemoral approach for patients with poor vascular access, its use is decreasing as transfemoral delivery systems become smaller and other access routes are developed.

Cite This Study

Stéphane Noble (2013) conducted an editorial in Aortic valve replacement indication. Transapical aortic valve implantation vs. Transfemoral approach was evaluated. Transcatheter aortic valve implantation has become a standard treatment for patients who are unsuitable or at high risk for surgical aortic valve replacement.

synapsesocial.com/papers/6a20a593e033bce76a911f19https://doi.org/10.3978/j.issn.2072-1439.2013.06.13
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transcatheter aortic valve implantation: The transfemoral versus the transapical approach.2012 · 12 citations
  2. 2Transcatheter aortic valve implantation: the procedure2012 · 53 citations
  3. 3TAVI: from home-made prosthesis to global interventional phenomenon2012 · 22 citations
  4. 4Transapical vs. transfemoral aortic valve implantation: Which approach for which patient, from a surgeon's standpoint.2012 · 23 citations
  5. 5Optimal pain management after aortic valve implantation: an opportunity to improve outcomes after transapical access in the future?2012 · 5 citations