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Vascular approaches for transcatheter aortic valve implantation

   
@article{JTD13598,
	author = {Isaac Pascual and Amelia Carro and Pablo Avanzas and Daniel Hernández-Vaquero and Rocío Díaz and Jose Rozado and Rebeca Lorca and María Martín and Jacobo Silva and César Morís},
	title = {Vascular approaches for transcatheter aortic valve implantation},
	journal = {Journal of Thoracic Disease},
	volume = {9},
	number = {Suppl 6},
	year = {2017},
	keywords = {},
	abstract = {Transcatheter aortic valve implantation (TAVI) is a rapidly evolving therapeutic modality currently available for patients with severe aortic stenosis (AS) that are unsuitable for surgery because of technical/anatomical issues or high-estimated surgical risk. Transfemoral approach is the preferred TAVI delivery route when possible. Alternative non-transfemoral access options include transaortic, trans-subclavian and transapical access. Other approaches are also feasible (transcarotid, transcaval, and antegrade aortic) but are restricted to operators and hospitals with experience. The peculiarities of each of the vascular approaches designed for TAVI delivery make it necessary to carefully assess patient’s atherosclerotic load and location, arterial size and tortuosity, and presence of mural thrombus. Several clinical trials are currently ongoing and in the near future the indications for these approaches will likely be better defined and extended to a broader spectrum of TAVI candidates.},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/13598}
}