September 1, 2015Open Access
Access and closure of the left ventricular apex: state of play.
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Population
Patients undergoing transapical transcatheter aortic valve implantation for calcific aortic stenosis.
Design
Review
Authors
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Implication
Scarcity of approved devices warrants caution in transapical access; leaves open further trials of emerging percutaneous options.
Structured PICO
P
Population
Patients undergoing transapical transcatheter aortic valve implantation (TA-TAVI) for calcific aortic stenosis.
I
Intervention
Apical closure devices (suture-based and suture-less) for transapical access.
Apical closure devices have the potential to standardize transapical TAVI, reduce bleeding complications, and facilitate a fully percutaneous approach, though clinical data and commercial availability remain limited.
Cite This Study
Ziegelmueller et al. (2015) studied this question.
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