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November 22, 2010Swiss Medical WeeklyOpen Access

Recent reports show transapical TAVI has a procedural success rate above 95% and 30-day mortality of 7.5-17.5% (mean logistic Euroscore 27-35%), while transfemoral TAVI has a success rate above 90% and 30-day mortality of 7-10.8% (mean logistic Euroscore 23-25.5%).

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Population

High risk patients affected by severe symptomatic aortic valve stenosis

Design

Review

Authors

ÉFÉmile Ferrari

Discussion

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Overview

Both TAVI approaches show high procedural success with acceptable short-term mortality in high-risk patients; leaves open randomized comparisons of access routes.

Structured PICO

P
Population
High risk patients affected by severe symptomatic aortic valve stenosis
I
Intervention
Transcatheter aortic valve implantation (TAVI) via transapical, transfemoral, or trans-subclavian approaches

TAVI is an established technique for high-risk patients with severe symptomatic aortic stenosis, with transapical and transfemoral approaches showing good short-term outcomes and procedural success rates.

Limitations

  • Further clinical trials and long-term results are mandatory to confirm this positive trend

Cite This Study

Émile Ferrari (2010) studied this question.

synapsesocial.com/papers/6a71507a26770c2b8de1076bhttps://doi.org/10.4414/smw.2010.13127
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Also Consider

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

  1. 1Comparing traditional aortic valve surgery and transapical approach to transcatheter aortic valve implant2020 · 13 citations
  2. 2Transapical vs. transfemoral aortic valve implantation: Which approach for which patient, from a surgeon's standpoint.2012 · 23 citations
  3. 3Transcatheter aortic valve implantation: The transfemoral versus the transapical approach.2012 · 12 citations
  4. 4Transcatheter aortic valve implantation: the procedure2012 · 53 citations
  5. 5Vascular approaches for transcatheter aortic valve implantation2017 · 59 citations