TY - JOUR
T1 - The best way to transcatheter aortic valve implantation
T2 - From standard to new approaches
AU - Morello, Alberto
AU - Corcione, Nicola
AU - Ferraro, Paolo
AU - Cimmino, Michele
AU - Pepe, Martino
AU - Cassese, Mauro
AU - Frati, Giacomo
AU - Biondi-Zoccai, Giuseppe
AU - Giordano, Arturo
N1 - Copyright © 2020. Published by Elsevier B.V.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Transcatheter aortic valve implantation (TAVI) is a safe and beneficial treatment for patients with severe symptomatic aortic stenosis at high and intermediate surgical risk. The safety of the procedure continues to improve thanks to more refined procedural approaches and devices but, also and above all, to the accrual of the procedural knowledge and expertise by the operators. The diversification of the approaches and the possibility to tailor the treatment on the individual needs and anatomical features of the patients allows a rapid learning curve in the management of even complications. Indeed, there are several approaches with which TAVI can be carried out: transfemoral arterial, subclavian, transcarotid, transaortic, transaxillary, transapical, and through right anterior thoracotomy. Although transfemoral venous TAVI is less common, it has already have been carried out using caval-aortic punctures. This field is rapidly evolving, and it will be of paramount importance for interventional cardiologists and cardiothoracic surgeons to keep up to date with further developments. This review intends to give an in-depth and update overview of both conventional and innovative TAVI approaches, with the scope to highlight the relevant advantages, major disadvantages, safety aspects and techniques.
AB - Transcatheter aortic valve implantation (TAVI) is a safe and beneficial treatment for patients with severe symptomatic aortic stenosis at high and intermediate surgical risk. The safety of the procedure continues to improve thanks to more refined procedural approaches and devices but, also and above all, to the accrual of the procedural knowledge and expertise by the operators. The diversification of the approaches and the possibility to tailor the treatment on the individual needs and anatomical features of the patients allows a rapid learning curve in the management of even complications. Indeed, there are several approaches with which TAVI can be carried out: transfemoral arterial, subclavian, transcarotid, transaortic, transaxillary, transapical, and through right anterior thoracotomy. Although transfemoral venous TAVI is less common, it has already have been carried out using caval-aortic punctures. This field is rapidly evolving, and it will be of paramount importance for interventional cardiologists and cardiothoracic surgeons to keep up to date with further developments. This review intends to give an in-depth and update overview of both conventional and innovative TAVI approaches, with the scope to highlight the relevant advantages, major disadvantages, safety aspects and techniques.
U2 - 10.1016/j.ijcard.2020.08.036
DO - 10.1016/j.ijcard.2020.08.036
M3 - Article
C2 - 32814109
VL - 322
SP - 86
EP - 94
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
ER -