Non-transfemoral access sites for transcatheter aortic valve replacement Article Swipe
Mariah Madigan
,
Rony Atoui
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.21037/jtd.2018.06.150
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.21037/jtd.2018.06.150
Transfemoral access is currently the standard and preferred access site for transcatheter aortic valve replacement (TAVR), though novel approaches are emerging to expand treatment options for the increasing numbers of patients with a contraindication for the traditional route. Previous publications have provided comparisons between two TAVR access sites, primarily transfemoral versus one of the novel approaches, while others have compared three or four novel approaches. The aim of this report is to provide a comprehensive summary of publications that analyse and compare the six non-transfemoral access sites currently described in the literature. These include the transapical, transaortic, axillary/subclavian, brachiocephalic, transcarotid, and transcaval approaches. Though there remains little consensus as to the superiority or non-inferiority of TAVR approaches, and there has yet to be randomized clinical trials to support published findings, with careful patient and procedural selection, outcomes for novel approaches have been reported to be comparable to standard transfemoral access when performed by skilled physicians. As such, choice of procedure is primarily based on registry data and the judgement of surgical teams as to which approach is best in each individual case. As TAVR continues to be an increasingly widespread treatment, search for the optimal access site will grow, and focus should be placed on the importance of educating surgeons as to all possible approaches so they may review and chose the most appropriate technique for a given patient.
Related Topics
Concepts
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.21037/jtd.2018.06.150
- https://jtd.amegroups.com/article/viewFile/22585/pdf
- OA Status
- hybrid
- Cited By
- 33
- References
- 81
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2883293514
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2883293514Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21037/jtd.2018.06.150Digital Object Identifier
- Title
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Non-transfemoral access sites for transcatheter aortic valve replacementWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
-
2018-07-01Full publication date if available
- Authors
-
Mariah Madigan, Rony AtouiList of authors in order
- Landing page
-
https://doi.org/10.21037/jtd.2018.06.150Publisher landing page
- PDF URL
-
https://jtd.amegroups.com/article/viewFile/22585/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://jtd.amegroups.com/article/viewFile/22585/pdfDirect OA link when available
- Concepts
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Medicine, Contraindication, Valve replacement, Randomized controlled trial, Surgery, Alternative medicine, Cardiology, Pathology, StenosisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
33Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 5, 2023: 3, 2022: 6, 2021: 7Per-year citation counts (last 5 years)
- References (count)
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81Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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