Trans-apical and trans-axillary percutaneous aortic valve implantation as alternatives to the femoral route: Short- and middle-term results

Maurizio Taramasso, Francesco Maisano, Micaela Cioni, Paolo Denti, Cosmo Godino, Matteo Montorfano, Antonio Colombo, Ottavio Alfieri

Research output: Contribution to journalArticle

Abstract

Objective: Trans-catheter aortic valve implantation (TAVI) is an alternative for patients not eligible for surgical aortic valve replacement. When peripheral access is not amenable by the transfemoral route (TF-TAVI), the most-used approaches are the trans-apical (TAp-TAVI) and the trans-axillary (TAx-TAVI). The aim of this study is to report the outcomes in a single-center series of consecutive patients treated by TAVI using the different approaches. Methods: From November 2007 to June 2010, 177 patients underwent TAVI by the same multispeciality valve team. TAp-TAVI was performed in the operative room, while TF-TAVI and TAx-TAVI were done in the catheterization laboratory. Follow-up was 100% complete (mean 6.0 ± 6.8 months). Results: TF-TAVI, TAx-TAVI, and TAp-TAVI were performed in 140 (79.1%), 19 (10.7%), and 16 patients (9.1%), respectively. The groups were not different in terms of age (p=0.6), left ventricular ejection fraction (LVEF) (p=0.6), Log-EuroSCORE (European System for Cardiac Operative Risk Evaluation) (p=0.3), and Society of Thoracic Surgeons (STS) score (p=0.7), while peripheral artery disease was higher in the TAp-TAVI and TAx-TAVI groups compared with the TF-TAVI group (P

Original languageEnglish
Pages (from-to)49-55
Number of pages7
JournalEuropean Journal of Cardio-thoracic Surgery
Volume40
Issue number1
DOIs
Publication statusPublished - Jul 2011

Keywords

  • Aortic stenosis
  • Trans-apical TAVI
  • Trans-axillary TAVI
  • Trans-catheter aortic valve implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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