September 1, 2013EuroIntervention
Transcatheter aortic valve implantation: the transfemoral access route is the default access
Why the study?
Does transfemoral TAVI offer procedural and clinical advantages compared to alternative access routes or SAVR in high-risk patients with severe aortic stenosis?
Population
Non-operable patients or selected high-risk patients with degenerative, severe aortic stenosis
Comparison
Transfemoral transcatheter aortic valve… vs Surgical aortic valve replacement or alternative…
Design
Review
Authors
Discussion
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Member takes
Implication
May support transfemoral TAVI preference for reduced invasiveness; leaves open rigorous comparisons versus alternatives in high-risk aortic stenosis.
Structured PICO
Does transfemoral TAVI offer procedural and clinical advantages compared to alternative access routes or SAVR in high-risk patients with severe aortic stenosis?
P
Population
Non-operable patients or selected high-risk patients with degenerative, severe aortic stenosis
I
Intervention
Transfemoral transcatheter aortic valve implantation (TAVI)
C
Comparator
Surgical aortic valve replacement (SAVR) or alternative TAVI access routes
Transfemoral TAVI offers significant patient-specific and health-economic advantages, supporting its use as the default access route for TAVI procedures.
Cite This Study
Stortecky et al. (2013) studied this question.