Transcatheter aortic valve implantation: the transfemoral access route is the default access

Stortecky, Stefan; O'Sullivan, Crochan John; Büllesfeld, Lutz; Windecker, Stephan; Wenaweser, Peter Martin (2013). Transcatheter aortic valve implantation: the transfemoral access route is the default access. EuroIntervention, 9 Supp(4), S14-S18. Europa Digital & Publishing 10.4244/EIJV9SSA4

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Transcatheter aortic valve implantation (TAVI) is a widely accepted alternative to surgical aortic valve replacement (SAVR) among non-operable patients or selected high-risk patients with degenerative, severe aortic stenosis. TAVI is considered less invasive when compared with SAVR; however, there remain significant differences between different TAVI access routes. The transfemoral approach is considered the least invasive access route, and can be performed as a fully percutaneous procedure in a spontaneously breathing patient under local anaesthesia and mild sedation only. Moreover, transfemoral TAVI patients are typically transferred to coronary care rather than to an intensive care unit after the procedure, and benefit from early ambulation and a reduction in overall length of hospital stay. Considering these patient-specific and health-economic advantages, several TAVI centres follow the least invasive strategy for their patients and have implemented the transfemoral access route as the default access in their institutions. This article provides an overview on the prerequisites for a successful transfemoral TAVI procedure, describes the procedural advantages compared to alternative access routes, and highlights differences in clinical outcomes.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Stortecky, Stefan; O'Sullivan, Crochan John; Büllesfeld, Lutz; Windecker, Stephan and Wenaweser, Peter Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1774-024X

Publisher:

Europa Digital & Publishing

Language:

English

Submitter:

Stefan Stortecky

Date Deposited:

24 Feb 2014 10:50

Last Modified:

04 Mar 2014 16:02

Publisher DOI:

10.4244/EIJV9SSA4

PubMed ID:

24025952

URI:

https://boris.unibe.ch/id/eprint/41948

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