September 1, 2015Open Access
Preferential short cut or alternative route: the transaxillary access for transcatheter aortic valve implantation.
Key result
The transaxillary approach for transcatheter aortic valve implantation serves as a safe and effective alternative to the transfemoral route for patients with severe aortic stenosis and peripheral vascular disease.
Population
Patients at high risk for conventional aortic valve replacement in whom transfemoral access is not suitable…
Design
Review
Authors
Discussion
Loading...
Member takes
Implication
Supports transaxillary TAVI consideration when femoral access precluded; leaves open need for randomized confirmation.
Structured PICO
P
Population
Patients at high risk for conventional aortic valve replacement in whom transfemoral access is not suitable due to peripheral vascular disease of the lower extremity
I
Intervention
Transaxillary access for transcatheter aortic valve implantation (TAVI)
Transaxillary access serves as a viable and effective alternative route for TAVI in patients with peripheral vascular disease that precludes the standard transfemoral approach.
Limitations
- Prospective, randomized studies comparing the transaxillary access with other approaches for TAVI are completely lacking.
Cite This Study
Schofer et al. (2015) conducted a review in Severe aortic stenosis. Transaxillary transcatheter aortic valve implantation vs. Transfemoral or other non-transfemoral TAVI approaches was evaluated. The transaxillary approach for transcatheter aortic valve implantation serves as a safe and effective alternative to the transfemoral route for patients with severe aortic stenosis and peripheral vascular disease.