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Murdock JE, Jensen HA, Thourani VH. Nontransfemoral Approaches to Transcatheter Aortic Valve Replacement. Interv Cardiol Clin. 2015;4(1):95-105doi: 10.1016/j.iccl.2014.09.006.
Murdock, J. E., Jensen, H. A., & Thourani, V. H. (2015). Nontransfemoral Approaches to Transcatheter Aortic Valve Replacement. Interventional cardiology clinics, 4(1), 95-105. https://doi.org/10.1016/j.iccl.2014.09.006
Murdock, Jared E, et al. "Nontransfemoral Approaches to Transcatheter Aortic Valve Replacement." Interventional cardiology clinics vol. 4,1 (2015): 95-105. doi: https://doi.org/10.1016/j.iccl.2014.09.006
Murdock JE, Jensen HA, Thourani VH. Nontransfemoral Approaches to Transcatheter Aortic Valve Replacement. Interv Cardiol Clin. 2015 Jan;4(1):95-105. doi: 10.1016/j.iccl.2014.09.006. Epub 2015 Feb 09. PMID: 28582125.
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Interv Cardiol Clin. 2015 Jan;4(1):95-105. doi: 10.1016/j.iccl.2014.09.006. Epub 2015 Feb 09.

Nontransfemoral Approaches to Transcatheter Aortic Valve Replacement.

Interventional cardiology clinics

Jared E Murdock, Hanna A Jensen, Vinod H Thourani

Affiliations

  1. Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Structural Heart and Valve Center, Emory University School of Medicine, 550 Peachtree Street Northeast, Atlanta, GA 30308, USA.
  2. Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Structural Heart and Valve Center, Emory University School of Medicine, 550 Peachtree Street Northeast, Atlanta, GA 30308, USA. Electronic address: [email protected].

PMID: 28582125 DOI: 10.1016/j.iccl.2014.09.006

Abstract

Transcatheter aortic valve replacement (TAVR) is noninferior to surgical aortic valve replacement in patients with high operative risk and superior to medical treatment in patients deemed unsuitable for surgical intervention. However, up to 30% to 50% of patients screened for this intervention are not candidates for TAVR via the preferred transfemoral route because of severe peripheral arterial disease. Alternative access routes must be considered and include the transapical, transaortic, transsubclavian, and transcarotid approaches. The use of alternative access is predicated on appropriate patient selection as determined by a dedicated multispecialty heart valve team and can lead to excellent outcomes.

Copyright © 2015 Elsevier Inc. All rights reserved.

Keywords: Nontransfemoral transcatheter aortic valve replacement; Transaortic transcatheter aortic valve replacement; Transapical transcatheter aortic valve replacement; Transcarotid transcatheter aortic valve replacement; Transcatheter aortic valve replacement; Transsubclavian transcatheter aortic valve replacement

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