Paradigm shifts in alternative access for transcatheter aortic valve replacement: An update

The Journal of Thoracic and Cardiovascular Surgery

article

Lucía Junquera¹  Dimitri Kalavrouziotis²  Eric Dumont²  Josep Rodés-Cabau¹  Siamak Mohammadi² 

[1] Department of Cardiology, Quebec Heart and Lung Institute, Laval University;Department of Cardiac Surgery, Quebec Heart and Lung Institute, Laval University

关键词: aortic stenosis;    transcatheter aortic valve replacement;    alternative access;    transcarotid;    transsubclavian;    transaortic;    transapical;   

DOI  :  10.1016/j.jtcvs.2021.04.075

学科分类：心脏病和心血管学

来源: Mosby, Inc.

【 摘 要 】

Over the last decade, transcatheter aortic valve replacement (TAVR) has evolved from a procedure reserved for high-to-prohibitive surgical risk patients,1-3 to an established therapeutic alternative to surgical aortic valve replacement (SAVR) in the low-to-intermediate risk population.4-7 The femoral artery is the first-choice approach whenever possible,8 as this was the predominant access site used in all of the randomized trials comparing TAVR with SAVR.

【 授权许可】

Unknown