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Comparison of outcomes of trans-subclavian versus trans-apical approaches in transcatheter aortic valve implantation - Journal of Cardiothoracic Surgery

Comparison of outcomes of trans-subclavian versus trans-apical approaches in transcatheter aortic valve implantation - Journal of Cardiothoracic Surgery

Source :

https://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-022-01929-0

Background Many patients are unsuitable for conventional femoral transcatheter aortic valve implantation (TAVI) but there is limited evidence as to which alternative approach has the best outcomes. We compared clinical outcomes in patients undergoing trans-subclavian (TS) or trans-apical (TA) TAVI.



Conclusions: Both trans-subclavian and trans-apical access are viable approaches for patients requiring non-transfemoral TAVI. Differences in peri-procedural indices reflect the disparate patient populations and factors governing prosthesis choice, and short- and long-term mortality was similar.