Skip to main content
Top
Published in: Current Cardiology Reports 11/2016

01-11-2016 | Valvular Heart Disease (A Wang, Section Editor)

Access Options for Transcatheter Aortic Valve Replacement in Patients with Unfavorable Aortoiliofemoral Anatomy

Authors: Jayendrakumar S. Patel, Amar Krishnaswamy, Lars G. Svensson, E. Murat Tuzcu, Stephanie Mick, Samir R. Kapadia

Published in: Current Cardiology Reports | Issue 11/2016

Login to get access

Abstract

In the current era, 10–15 % of transcatheter aortic valve replacement (TAVR)-eligible high and prohibitive risk patients with severe symptomatic aortic stenosis are not candidates for transfemoral arterial access. Knowledge of the various alternative access options can enable TAVR teams to provide improved quality of life and potentially life-saving treatment for a group of patients who otherwise have no viable options. In this article, we review approach to patients with unfavorable femoral arterial anatomy and provide an in-depth discussion on the various alternative routes for TAVR.
Literature
1.
go back to reference Dewey TM, Walther T, Doss M, et al. Transapical aortic valve implantation: an animal feasibility study. Ann Thorac Surg. 2006;82:110–6.CrossRefPubMed Dewey TM, Walther T, Doss M, et al. Transapical aortic valve implantation: an animal feasibility study. Ann Thorac Surg. 2006;82:110–6.CrossRefPubMed
2.•
go back to reference Blackstone EH, Suri RM, Rajeswaran J, et al. Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement: a placement of aortic transcatheter valves (PARTNER)-I trial substudy. Circulation. 2015;131:1989–2000. Compared TA with TF approach and found a higher liklihood of adverse periprocedural events and prolonged recovery with TA approach. Stroke risk was equivalent with both approaches.CrossRefPubMed Blackstone EH, Suri RM, Rajeswaran J, et al. Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement: a placement of aortic transcatheter valves (PARTNER)-I trial substudy. Circulation. 2015;131:1989–2000. Compared TA with TF approach and found a higher liklihood of adverse periprocedural events and prolonged recovery with TA approach. Stroke risk was equivalent with both approaches.CrossRefPubMed
3.
go back to reference Makkar RR, Fontana GP, Jilaihawi H, et al. Transcatheter aortic-valve replacement for inoperable severe aortic stenosis. N Engl J Med. 2012;366:1696–704.CrossRefPubMed Makkar RR, Fontana GP, Jilaihawi H, et al. Transcatheter aortic-valve replacement for inoperable severe aortic stenosis. N Engl J Med. 2012;366:1696–704.CrossRefPubMed
4.
go back to reference Kapadia SR, Leon MB, Makkar RR, et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385:2485–91.CrossRefPubMed Kapadia SR, Leon MB, Makkar RR, et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385:2485–91.CrossRefPubMed
5.
go back to reference Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.CrossRefPubMed Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.CrossRefPubMed
6.
go back to reference Kapadia SR, Tuzcu EM, Makkar RR, et al. Long-term outcomes of inoperable patients with aortic stenosis randomly assigned to transcatheter aortic valve replacement or standard therapy. Circulation. 2014;130:1483–92.CrossRefPubMed Kapadia SR, Tuzcu EM, Makkar RR, et al. Long-term outcomes of inoperable patients with aortic stenosis randomly assigned to transcatheter aortic valve replacement or standard therapy. Circulation. 2014;130:1483–92.CrossRefPubMed
7.
go back to reference Leon MB, Smith CR, Mack MJ, et al. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2016;374:1609–20.CrossRefPubMed Leon MB, Smith CR, Mack MJ, et al. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2016;374:1609–20.CrossRefPubMed
8.
go back to reference Webb JG, Doshi D, Mack MJ, et al. A Randomized Evaluation of the SAPIEN XT Transcatheter Heart Valve System in Patients With Aortic Stenosis Who Are Not Candidates for Surgery. JACC Cardiovasc Interv. 2015;8:1797–806.CrossRefPubMed Webb JG, Doshi D, Mack MJ, et al. A Randomized Evaluation of the SAPIEN XT Transcatheter Heart Valve System in Patients With Aortic Stenosis Who Are Not Candidates for Surgery. JACC Cardiovasc Interv. 2015;8:1797–806.CrossRefPubMed
9.
go back to reference Kodali SK, O’Neill WW, Moses JW, et al. Early and late (one year) outcomes following transcatheter aortic valve implantation in patients with severe aortic stenosis (from the United States REVIVAL trial). Am J Cardiol. 2011;107:1058–64.CrossRefPubMed Kodali SK, O’Neill WW, Moses JW, et al. Early and late (one year) outcomes following transcatheter aortic valve implantation in patients with severe aortic stenosis (from the United States REVIVAL trial). Am J Cardiol. 2011;107:1058–64.CrossRefPubMed
10.
go back to reference Aguirre J, Waskowski R, Poddar K, et al. Transcatheter aortic valve replacement: experience with the transapical approach, alternate access sites, and concomitant cardiac repairs. J Thorac Cardiovasc Surg. 2014;148:1417–22.CrossRefPubMed Aguirre J, Waskowski R, Poddar K, et al. Transcatheter aortic valve replacement: experience with the transapical approach, alternate access sites, and concomitant cardiac repairs. J Thorac Cardiovasc Surg. 2014;148:1417–22.CrossRefPubMed
11.
go back to reference Al Kindi AH, Salhab KF, Roselli EE, Kapadia S, Tuzcu EM, Svensson LG. Alternative access options for transcatheter aortic valve replacement in patients with no conventional access and chest pathology. J Thorac Cardiovasc Surg. 2014;147:644–51.CrossRefPubMed Al Kindi AH, Salhab KF, Roselli EE, Kapadia S, Tuzcu EM, Svensson LG. Alternative access options for transcatheter aortic valve replacement in patients with no conventional access and chest pathology. J Thorac Cardiovasc Surg. 2014;147:644–51.CrossRefPubMed
12.
go back to reference Svensson LG, Dewey T, Kapadia S, et al. United States feasibility study of transcatheter insertion of a stented aortic valve by the left ventricular apex. Ann Thorac Surg. 2008;86:46–54. discussion 54-5.CrossRefPubMed Svensson LG, Dewey T, Kapadia S, et al. United States feasibility study of transcatheter insertion of a stented aortic valve by the left ventricular apex. Ann Thorac Surg. 2008;86:46–54. discussion 54-5.CrossRefPubMed
13.••
go back to reference Svensson LG, Blackstone EH, Rajeswaran J, et al. Comprehensive analysis of mortality among patients undergoing TAVR: results of the PARTNER trial. J Am Coll Cardiol. 2014;64:158–68. Demonstrated an elevated periprocedural risk associated with TA approach over TF approach.CrossRefPubMed Svensson LG, Blackstone EH, Rajeswaran J, et al. Comprehensive analysis of mortality among patients undergoing TAVR: results of the PARTNER trial. J Am Coll Cardiol. 2014;64:158–68. Demonstrated an elevated periprocedural risk associated with TA approach over TF approach.CrossRefPubMed
14.
go back to reference Thourani VH, Kodali S, Makkar RR, et al. Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Lancet. 2016. Thourani VH, Kodali S, Makkar RR, et al. Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Lancet. 2016.
15.
go back to reference Kodali S, Thourani VH, White J, et al. Early clinical and echocardiographic outcomes after SAPIEN 3 transcatheter aortic valve replacement in inoperable, high-risk and intermediate-risk patients with aortic stenosis. Eur Heart J. 2016. Kodali S, Thourani VH, White J, et al. Early clinical and echocardiographic outcomes after SAPIEN 3 transcatheter aortic valve replacement in inoperable, high-risk and intermediate-risk patients with aortic stenosis. Eur Heart J. 2016.
16.
go back to reference Ducrocq G, Francis F, Serfaty JM, et al. Vascular complications of transfemoral aortic valve implantation with the Edwards SAPIEN prosthesis: incidence and impact on outcome. EuroIntervention. 2010;5:666–72.CrossRefPubMed Ducrocq G, Francis F, Serfaty JM, et al. Vascular complications of transfemoral aortic valve implantation with the Edwards SAPIEN prosthesis: incidence and impact on outcome. EuroIntervention. 2010;5:666–72.CrossRefPubMed
17.•
go back to reference Krishnaswamy A, Parashar A, Agarwal S, et al. Predicting vascular complications during transfemoral transcatheter aortic valve replacement using computed tomography: a novel area-based index. Catheter Cardiovasc Interv. 2014;84:844–51. Found that a sheath to femoral artery diameter and area ratios predict vascular complications in patients undergoing TF TAVR.CrossRefPubMed Krishnaswamy A, Parashar A, Agarwal S, et al. Predicting vascular complications during transfemoral transcatheter aortic valve replacement using computed tomography: a novel area-based index. Catheter Cardiovasc Interv. 2014;84:844–51. Found that a sheath to femoral artery diameter and area ratios predict vascular complications in patients undergoing TF TAVR.CrossRefPubMed
18.
go back to reference Ziegelmueller JA, Lange R, Bleiziffer S. Access and closure of the left ventricular apex: state of play. J Thorac Dis. 2015;7:1548–55.PubMedPubMedCentral Ziegelmueller JA, Lange R, Bleiziffer S. Access and closure of the left ventricular apex: state of play. J Thorac Dis. 2015;7:1548–55.PubMedPubMedCentral
19.
go back to reference Kodali SK, Williams MR, Smith CR, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012;366:1686–95.CrossRefPubMed Kodali SK, Williams MR, Smith CR, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012;366:1686–95.CrossRefPubMed
20.
go back to reference Mack MJ, Leon MB, Smith CR, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385:2477–84.CrossRefPubMed Mack MJ, Leon MB, Smith CR, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;385:2477–84.CrossRefPubMed
21.
go back to reference Thourani VH, Jensen HA, Babaliaros V, et al. Outcomes in Nonagenarians Undergoing Transcatheter Aortic Valve Replacement in the PARTNER-I Trial. Ann Thorac Surg. 2015;100:785–92. discussion 793.CrossRefPubMed Thourani VH, Jensen HA, Babaliaros V, et al. Outcomes in Nonagenarians Undergoing Transcatheter Aortic Valve Replacement in the PARTNER-I Trial. Ann Thorac Surg. 2015;100:785–92. discussion 793.CrossRefPubMed
22.
go back to reference Williams M, Kodali SK, Hahn RT, et al. Sex-related differences in outcomes after transcatheter or surgical aortic valve replacement in patients with severe aortic stenosis: insights from the PARTNER Trial (Placement of Aortic Transcatheter Valve). J Am Coll Cardiol. 2014;63:1522–8.CrossRefPubMed Williams M, Kodali SK, Hahn RT, et al. Sex-related differences in outcomes after transcatheter or surgical aortic valve replacement in patients with severe aortic stenosis: insights from the PARTNER Trial (Placement of Aortic Transcatheter Valve). J Am Coll Cardiol. 2014;63:1522–8.CrossRefPubMed
23.•
go back to reference Thourani VH, Jensen HA, Babaliaros V, et al. Transapical and Transaortic Transcatheter Aortic Valve Replacement in the United States. Ann Thorac Surg. 2015;100:1718–26. discussion 1726-7. Found no difference in mortality or stroke between TA and DA access. Thourani VH, Jensen HA, Babaliaros V, et al. Transapical and Transaortic Transcatheter Aortic Valve Replacement in the United States. Ann Thorac Surg. 2015;100:1718–26. discussion 1726-7. Found no difference in mortality or stroke between TA and DA access.
24.
go back to reference Thomas M, Schymik G, Walther T, et al. Thirty-day results of the SAPIEN aortic Bioprosthesis European Outcome (SOURCE) Registry: a European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve. Circulation. 2010;122:62–9.CrossRefPubMed Thomas M, Schymik G, Walther T, et al. Thirty-day results of the SAPIEN aortic Bioprosthesis European Outcome (SOURCE) Registry: a European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve. Circulation. 2010;122:62–9.CrossRefPubMed
25.
go back to reference Webb JG, Altwegg L, Boone RH, et al. Transcatheter aortic valve implantation: impact on clinical and valve-related outcomes. Circulation. 2009;119:3009–16.CrossRefPubMed Webb JG, Altwegg L, Boone RH, et al. Transcatheter aortic valve implantation: impact on clinical and valve-related outcomes. Circulation. 2009;119:3009–16.CrossRefPubMed
26.
go back to reference Himbert D, Descoutures F, Al-Attar N, et al. Results of transfemoral or transapical aortic valve implantation following a uniform assessment in high-risk patients with aortic stenosis. J Am Coll Cardiol. 2009;54:303–11.CrossRefPubMed Himbert D, Descoutures F, Al-Attar N, et al. Results of transfemoral or transapical aortic valve implantation following a uniform assessment in high-risk patients with aortic stenosis. J Am Coll Cardiol. 2009;54:303–11.CrossRefPubMed
27.
go back to reference Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187–98.CrossRefPubMed Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187–98.CrossRefPubMed
28.
go back to reference Ewe SH, Delgado V, Ng AC, et al. Outcomes after transcatheter aortic valve implantation: transfemoral versus transapical approach. Ann Thorac Surg. 2011;92:1244–51.CrossRefPubMed Ewe SH, Delgado V, Ng AC, et al. Outcomes after transcatheter aortic valve implantation: transfemoral versus transapical approach. Ann Thorac Surg. 2011;92:1244–51.CrossRefPubMed
29.
go back to reference Genereux P, Cohen DJ, Williams MR, et al. Bleeding complications after surgical aortic valve replacement compared with transcatheter aortic valve replacement: insights from the PARTNER I Trial (Placement of Aortic Transcatheter Valve). J Am Coll Cardiol. 2014;63:1100–9.CrossRefPubMed Genereux P, Cohen DJ, Williams MR, et al. Bleeding complications after surgical aortic valve replacement compared with transcatheter aortic valve replacement: insights from the PARTNER I Trial (Placement of Aortic Transcatheter Valve). J Am Coll Cardiol. 2014;63:1100–9.CrossRefPubMed
30.
go back to reference Kodali S, Williams MR, Doshi D, et al. Sex-specific differences at presentation and outcomes among patients undergoing transcatheter aortic valve replacement: a cohort study. Ann Intern Med. 2016;164:377–84.CrossRefPubMed Kodali S, Williams MR, Doshi D, et al. Sex-specific differences at presentation and outcomes among patients undergoing transcatheter aortic valve replacement: a cohort study. Ann Intern Med. 2016;164:377–84.CrossRefPubMed
31.
go back to reference Lefevre T, Kappetein AP, Wolner E, et al. One year follow-up of the multi-centre European PARTNER transcatheter heart valve study. Eur Heart J. 2011;32:148–57.CrossRefPubMed Lefevre T, Kappetein AP, Wolner E, et al. One year follow-up of the multi-centre European PARTNER transcatheter heart valve study. Eur Heart J. 2011;32:148–57.CrossRefPubMed
32.
go back to reference Gada H, Kirtane AJ, Wang K, et al. Temporal trends in quality of life outcomes after transapical transcatheter aortic valve replacement: a placement of AoRTic TraNscathetER Valve (PARTNER) Trial Substudy. Circ Cardiovasc Qual Outcomes. 2015;8:338–46.CrossRefPubMedPubMedCentral Gada H, Kirtane AJ, Wang K, et al. Temporal trends in quality of life outcomes after transapical transcatheter aortic valve replacement: a placement of AoRTic TraNscathetER Valve (PARTNER) Trial Substudy. Circ Cardiovasc Qual Outcomes. 2015;8:338–46.CrossRefPubMedPubMedCentral
33.•
go back to reference Rahnavardi M, Santibanez J, Sian K, Yan TD. A systematic review of transapical aortic valve implantation. Ann Cardiothorac Surg. 2012;1:116–28. Systematic review of the TA approach demonstrating safety and efficacy.PubMedPubMedCentral Rahnavardi M, Santibanez J, Sian K, Yan TD. A systematic review of transapical aortic valve implantation. Ann Cardiothorac Surg. 2012;1:116–28. Systematic review of the TA approach demonstrating safety and efficacy.PubMedPubMedCentral
34.
go back to reference Walther T, Simon P, Dewey T, et al. Transapical minimally invasive aortic valve implantation: multicenter experience. Circulation. 2007;116:I240–5.CrossRefPubMed Walther T, Simon P, Dewey T, et al. Transapical minimally invasive aortic valve implantation: multicenter experience. Circulation. 2007;116:I240–5.CrossRefPubMed
35.
go back to reference Rodes-Cabau J, Webb JG, Cheung A, et al. Transcatheter aortic valve implantation for the treatment of severe symptomatic aortic stenosis in patients at very high or prohibitive surgical risk: acute and late outcomes of the multicenter Canadian experience. J Am Coll Cardiol. 2010;55:1080–90.CrossRefPubMed Rodes-Cabau J, Webb JG, Cheung A, et al. Transcatheter aortic valve implantation for the treatment of severe symptomatic aortic stenosis in patients at very high or prohibitive surgical risk: acute and late outcomes of the multicenter Canadian experience. J Am Coll Cardiol. 2010;55:1080–90.CrossRefPubMed
36.
go back to reference Walther T, Thielmann M, Kempfert J, et al. PREVAIL TRANSAPICAL: multicentre trial of transcatheter aortic valve implantation using the newly designed bioprosthesis (SAPIEN-XT) and delivery system (ASCENDRA-II). Eur J Cardiothorac Surg. 2012;42:278–83. discussion 283.CrossRefPubMed Walther T, Thielmann M, Kempfert J, et al. PREVAIL TRANSAPICAL: multicentre trial of transcatheter aortic valve implantation using the newly designed bioprosthesis (SAPIEN-XT) and delivery system (ASCENDRA-II). Eur J Cardiothorac Surg. 2012;42:278–83. discussion 283.CrossRefPubMed
37.•
go back to reference Walther T, Thielmann M, Kempfert J, et al. One-year multicentre outcomes of transapical aortic valve implantation using the SAPIEN XT valve: the PREVAIL transapical study. Eur J Cardiothorac Surg. 2013;43:986–92. Studied newer generation Sapien XT device delivery system.CrossRefPubMed Walther T, Thielmann M, Kempfert J, et al. One-year multicentre outcomes of transapical aortic valve implantation using the SAPIEN XT valve: the PREVAIL transapical study. Eur J Cardiothorac Surg. 2013;43:986–92. Studied newer generation Sapien XT device delivery system.CrossRefPubMed
38.•
go back to reference Biancari F, Rosato S, D’Errigo P, et al. Immediate and Intermediate Outcome After Transapical Versus Transfemoral Transcatheter Aortic Valve Replacement. Am J Cardiol. 2016;117:245–51. Demonstrated higher survival with TF approach over TA approach.CrossRefPubMed Biancari F, Rosato S, D’Errigo P, et al. Immediate and Intermediate Outcome After Transapical Versus Transfemoral Transcatheter Aortic Valve Replacement. Am J Cardiol. 2016;117:245–51. Demonstrated higher survival with TF approach over TA approach.CrossRefPubMed
39.•
go back to reference Suri RM, Minha S, Alli O et al. Learning curves for transapical transcatheter aortic valve replacement in the PARTNER-I trial: technical performance, success, and safety. J Thorac Cardiovasc Surg. 2016. Highlights the existence of a learning curve for TA-TAVR. Suri RM, Minha S, Alli O et al. Learning curves for transapical transcatheter aortic valve replacement in the PARTNER-I trial: technical performance, success, and safety. J Thorac Cardiovasc Surg. 2016. Highlights the existence of a learning curve for TA-TAVR.
40.
go back to reference Unbehaun A, Pasic M, Drews T, et al. Analysis of survival in 300 high-risk patients up to 2.5 years after transapical aortic valve implantation. Ann Thorac Surg. 2011;92:1315–23.CrossRefPubMed Unbehaun A, Pasic M, Drews T, et al. Analysis of survival in 300 high-risk patients up to 2.5 years after transapical aortic valve implantation. Ann Thorac Surg. 2011;92:1315–23.CrossRefPubMed
41.
go back to reference Ye J, Cheung A, Lichtenstein SV, et al. Transapical transcatheter aortic valve implantation: follow-up to 3 years. J Thorac Cardiovasc Surg. 2010;139:1107-13. 1113 e1. Ye J, Cheung A, Lichtenstein SV, et al. Transapical transcatheter aortic valve implantation: follow-up to 3 years. J Thorac Cardiovasc Surg. 2010;139:1107-13. 1113 e1.
42.
go back to reference Kempfert J, Rastan A, Holzhey D, et al. Transapical aortic valve implantation: analysis of risk factors and learning experience in 299 patients. Circulation. 2011;124:S124–9.CrossRefPubMed Kempfert J, Rastan A, Holzhey D, et al. Transapical aortic valve implantation: analysis of risk factors and learning experience in 299 patients. Circulation. 2011;124:S124–9.CrossRefPubMed
43.•
go back to reference Dewey TM, Bowers B, Thourani VH, et al. Transapical aortic valve replacement for severe aortic stenosis: results from the nonrandomized continued access cohort of the PARTNER trial. Ann Thorac Surg. 2013;96:2083–9. Highlights the existence of a learning curve for TA-TAVR.CrossRefPubMed Dewey TM, Bowers B, Thourani VH, et al. Transapical aortic valve replacement for severe aortic stenosis: results from the nonrandomized continued access cohort of the PARTNER trial. Ann Thorac Surg. 2013;96:2083–9. Highlights the existence of a learning curve for TA-TAVR.CrossRefPubMed
44.
go back to reference Eggebrecht H, Schmermund A, Voigtlander T, Kahlert P, Erbel R, Mehta RH. Risk of stroke after transcatheter aortic valve implantation (TAVI): a meta-analysis of 10,037 published patients. EuroIntervention. 2012;8:129–38.CrossRefPubMed Eggebrecht H, Schmermund A, Voigtlander T, Kahlert P, Erbel R, Mehta RH. Risk of stroke after transcatheter aortic valve implantation (TAVI): a meta-analysis of 10,037 published patients. EuroIntervention. 2012;8:129–38.CrossRefPubMed
45.••
go back to reference Thourani VH, Li C, Devireddy C, et al. High-risk patients with inoperative aortic stenosis: use of transapical, transaortic, and transcarotid techniques. Ann Thorac Surg. 2015;99:817–23. discussion 823-5. Demonstrated excellent outcomes with alternative access TAVR in patients with unfavorable TF access. Thourani VH, Li C, Devireddy C, et al. High-risk patients with inoperative aortic stenosis: use of transapical, transaortic, and transcarotid techniques. Ann Thorac Surg. 2015;99:817–23. discussion 823-5. Demonstrated excellent outcomes with alternative access TAVR in patients with unfavorable TF access.
46.
go back to reference Thourani VH, Gunter RL, Neravetla S, et al. Use of transaortic, transapical, and transcarotid transcatheter aortic valve replacement in inoperable patients. Ann Thorac Surg. 2013;96:1349–57.CrossRefPubMed Thourani VH, Gunter RL, Neravetla S, et al. Use of transaortic, transapical, and transcarotid transcatheter aortic valve replacement in inoperable patients. Ann Thorac Surg. 2013;96:1349–57.CrossRefPubMed
47.
go back to reference Moat NE, Ludman P, de Belder MA, et al. Long-term outcomes after transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis: the U.K. TAVI (United Kingdom Transcatheter Aortic Valve Implantation) Registry. J Am Coll Cardiol. 2011;58:2130–8.CrossRefPubMed Moat NE, Ludman P, de Belder MA, et al. Long-term outcomes after transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis: the U.K. TAVI (United Kingdom Transcatheter Aortic Valve Implantation) Registry. J Am Coll Cardiol. 2011;58:2130–8.CrossRefPubMed
48.
go back to reference Erdoes G, Basciani R, Huber C, et al. Transcranial Doppler-detected cerebral embolic load during transcatheter aortic valve implantation. Eur J Cardiothorac Surg. 2012;41:778–83. discussion 783-4.CrossRefPubMed Erdoes G, Basciani R, Huber C, et al. Transcranial Doppler-detected cerebral embolic load during transcatheter aortic valve implantation. Eur J Cardiothorac Surg. 2012;41:778–83. discussion 783-4.CrossRefPubMed
49.
go back to reference Rodes-Cabau J, Dumont E, Boone RH, et al. Cerebral embolism following transcatheter aortic valve implantation: comparison of transfemoral and transapical approaches. J Am Coll Cardiol. 2011;57:18–28.CrossRefPubMed Rodes-Cabau J, Dumont E, Boone RH, et al. Cerebral embolism following transcatheter aortic valve implantation: comparison of transfemoral and transapical approaches. J Am Coll Cardiol. 2011;57:18–28.CrossRefPubMed
50.
go back to reference Schafer U, Ho Y, Frerker C, et al. Direct percutaneous access technique for transaxillary transcatheter aortic valve implantation: “the Hamburg Sankt Georg approach”. JACC Cardiovasc Interv. 2012;5:477–86.CrossRefPubMed Schafer U, Ho Y, Frerker C, et al. Direct percutaneous access technique for transaxillary transcatheter aortic valve implantation: “the Hamburg Sankt Georg approach”. JACC Cardiovasc Interv. 2012;5:477–86.CrossRefPubMed
51.
go back to reference Fraccaro C, Napodano M, Tarantini G, et al. Expanding the eligibility for transcatheter aortic valve implantation the trans-subclavian retrograde approach using: the III generation CoreValve revalving system. JACC Cardiovasc Interv. 2009;2:828–33.CrossRefPubMed Fraccaro C, Napodano M, Tarantini G, et al. Expanding the eligibility for transcatheter aortic valve implantation the trans-subclavian retrograde approach using: the III generation CoreValve revalving system. JACC Cardiovasc Interv. 2009;2:828–33.CrossRefPubMed
52.
go back to reference Adamo M, Fiorina C, Curello S, et al. Role of different vascular approaches on transcatheter aortic valve implantation outcome: a single-center study. J Cardiovasc Med (Hagerstown). 2015;16:279–85.CrossRef Adamo M, Fiorina C, Curello S, et al. Role of different vascular approaches on transcatheter aortic valve implantation outcome: a single-center study. J Cardiovasc Med (Hagerstown). 2015;16:279–85.CrossRef
53.
go back to reference Petronio AS, De Carlo M, Bedogni F, et al. Safety and efficacy of the subclavian approach for transcatheter aortic valve implantation with the CoreValve revalving system. Circ Cardiovasc Interv. 2010;3:359–66.CrossRefPubMed Petronio AS, De Carlo M, Bedogni F, et al. Safety and efficacy of the subclavian approach for transcatheter aortic valve implantation with the CoreValve revalving system. Circ Cardiovasc Interv. 2010;3:359–66.CrossRefPubMed
54.•
go back to reference Petronio AS, De Carlo M, Bedogni F, et al. 2-year results of CoreValve implantation through the subclavian access: a propensity-matched comparison with the femoral access. J Am Coll Cardiol. 2012;60:502–7. Provides evidence for subclavian TAVR.CrossRefPubMed Petronio AS, De Carlo M, Bedogni F, et al. 2-year results of CoreValve implantation through the subclavian access: a propensity-matched comparison with the femoral access. J Am Coll Cardiol. 2012;60:502–7. Provides evidence for subclavian TAVR.CrossRefPubMed
55.•
go back to reference Ciuca C, Tarantini G, Latib A, et al. Trans-subclavian versus transapical access for transcatheter aortic valve implantation: a multicenter study. Catheter Cardiovasc Interv. 2016;87:332–8. Demonstrated equivalent 1 and 2 year survival rates between subclavian and TA access.CrossRefPubMed Ciuca C, Tarantini G, Latib A, et al. Trans-subclavian versus transapical access for transcatheter aortic valve implantation: a multicenter study. Catheter Cardiovasc Interv. 2016;87:332–8. Demonstrated equivalent 1 and 2 year survival rates between subclavian and TA access.CrossRefPubMed
56.
go back to reference Bapat VN, Attia RQ, Thomas M. Distribution of calcium in the ascending aorta in patients undergoing transcatheter aortic valve implantation and its relevance to the transaortic approach. JACC Cardiovasc Interv. 2012;5:470–6.CrossRefPubMed Bapat VN, Attia RQ, Thomas M. Distribution of calcium in the ascending aorta in patients undergoing transcatheter aortic valve implantation and its relevance to the transaortic approach. JACC Cardiovasc Interv. 2012;5:470–6.CrossRefPubMed
57.
go back to reference Okuyama K, Jilaihawi H, Mirocha J, et al. Alternative access for balloon-expandable transcatheter aortic valve replacement: comparison of the transaortic approach using right anterior thoracotomy to partial J-sternotomy. J Thorac Cardiovasc Surg. 2015;149:789–97.CrossRefPubMed Okuyama K, Jilaihawi H, Mirocha J, et al. Alternative access for balloon-expandable transcatheter aortic valve replacement: comparison of the transaortic approach using right anterior thoracotomy to partial J-sternotomy. J Thorac Cardiovasc Surg. 2015;149:789–97.CrossRefPubMed
58.
go back to reference Seiffert M, Schnabel R, Conradi L, et al. Predictors and outcomes after transcatheter aortic valve implantation using different approaches according to the valve academic research consortium definitions. Catheter Cardiovasc Interv. 2013;82:640–52.PubMed Seiffert M, Schnabel R, Conradi L, et al. Predictors and outcomes after transcatheter aortic valve implantation using different approaches according to the valve academic research consortium definitions. Catheter Cardiovasc Interv. 2013;82:640–52.PubMed
59.•
go back to reference Ramlawi B, Abu Saleh WK, Jabbari OA, et al. Short-Term Outcomes with Direct Aortic Access for Transcatheter Aortic Valve Replacement. J Heart Valve Dis. 2015;24:426–32. Provides short term data for the direct aortic approach.PubMed Ramlawi B, Abu Saleh WK, Jabbari OA, et al. Short-Term Outcomes with Direct Aortic Access for Transcatheter Aortic Valve Replacement. J Heart Valve Dis. 2015;24:426–32. Provides short term data for the direct aortic approach.PubMed
60.
go back to reference Lardizabal JA, O’Neill BP, Desai HV, et al. The transaortic approach for transcatheter aortic valve replacement: initial clinical experience in the United States. J Am Coll Cardiol. 2013;61:2341–5.CrossRefPubMed Lardizabal JA, O’Neill BP, Desai HV, et al. The transaortic approach for transcatheter aortic valve replacement: initial clinical experience in the United States. J Am Coll Cardiol. 2013;61:2341–5.CrossRefPubMed
61.
go back to reference Suri RM, Gulack BC, Brennan JM, et al. Outcomes of Patients With Severe Chronic Lung Disease Who Are Undergoing Transcatheter Aortic Valve Replacement. Ann Thorac Surg. 2015;100:2136–45. discussion 2145-6.CrossRefPubMed Suri RM, Gulack BC, Brennan JM, et al. Outcomes of Patients With Severe Chronic Lung Disease Who Are Undergoing Transcatheter Aortic Valve Replacement. Ann Thorac Surg. 2015;100:2136–45. discussion 2145-6.CrossRefPubMed
62.
go back to reference Azmoun A, Amabile N, Ramadan R, et al. Transcatheter aortic valve implantation through carotid artery access under local anaesthesia. Eur J Cardiothorac Surg. 2014;46:693–8. discussion 698.CrossRefPubMed Azmoun A, Amabile N, Ramadan R, et al. Transcatheter aortic valve implantation through carotid artery access under local anaesthesia. Eur J Cardiothorac Surg. 2014;46:693–8. discussion 698.CrossRefPubMed
63.
go back to reference Modine T, Sudre A, Delhaye C, et al. Transcutaneous aortic valve implantation using the left carotid access: feasibility and early clinical outcomes. Ann Thorac Surg. 2012;93:1489–94.CrossRefPubMed Modine T, Sudre A, Delhaye C, et al. Transcutaneous aortic valve implantation using the left carotid access: feasibility and early clinical outcomes. Ann Thorac Surg. 2012;93:1489–94.CrossRefPubMed
64.•
go back to reference Mylotte D, Sudre A, Teiger E, et al. Transcarotid transcatheter aortic valve replacement: feasibility and safety. JACC Cardiovasc Interv. 2016;9:472–80. Describes safety and efficacy of transcarotid approach.CrossRefPubMed Mylotte D, Sudre A, Teiger E, et al. Transcarotid transcatheter aortic valve replacement: feasibility and safety. JACC Cardiovasc Interv. 2016;9:472–80. Describes safety and efficacy of transcarotid approach.CrossRefPubMed
65.•
go back to reference Lederman RJ, Babaliaros VC, Greenbaum AB. How to perform transcaval access and closure for transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2015;86:1242–54. Excellent description of technique for transcaval TAVR.CrossRefPubMedPubMedCentral Lederman RJ, Babaliaros VC, Greenbaum AB. How to perform transcaval access and closure for transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2015;86:1242–54. Excellent description of technique for transcaval TAVR.CrossRefPubMedPubMedCentral
66.
go back to reference Greenbaum AB, O’Neill WW, Paone G, et al. Caval-aortic access to allow transcatheter aortic valve replacement in otherwise ineligible patients: initial human experience. J Am Coll Cardiol. 2014;63:2795–804.CrossRefPubMedPubMedCentral Greenbaum AB, O’Neill WW, Paone G, et al. Caval-aortic access to allow transcatheter aortic valve replacement in otherwise ineligible patients: initial human experience. J Am Coll Cardiol. 2014;63:2795–804.CrossRefPubMedPubMedCentral
67.
go back to reference Greenbaum A. Transcaval TAVR: technique, rationale, and complications. Transcatheter Valve Therapeutics annual meeting. Chicago, Illinois, June 4, 2015. Greenbaum A. Transcaval TAVR: technique, rationale, and complications. Transcatheter Valve Therapeutics annual meeting. Chicago, Illinois, June 4, 2015.
68.
go back to reference Martinez-Clark PO, Singh V, Cadena JA, et al. Transcaval retrograde transcatheter aortic valve replacement for patients with no other access: first-in-man experience with CoreValve. JACC Cardiovasc Interv. 2014;7:1075–7.CrossRefPubMed Martinez-Clark PO, Singh V, Cadena JA, et al. Transcaval retrograde transcatheter aortic valve replacement for patients with no other access: first-in-man experience with CoreValve. JACC Cardiovasc Interv. 2014;7:1075–7.CrossRefPubMed
69.
go back to reference Cribier A, Eltchaninoff H, Tron C, et al. Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end-stage inoperable patients with calcific aortic stenosis. J Am Coll Cardiol. 2004;43:698–703.CrossRefPubMed Cribier A, Eltchaninoff H, Tron C, et al. Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end-stage inoperable patients with calcific aortic stenosis. J Am Coll Cardiol. 2004;43:698–703.CrossRefPubMed
70.
go back to reference Cribier A, Eltchaninoff H, Tron C, et al. Treatment of calcific aortic stenosis with the percutaneous heart valve: mid-term follow-up from the initial feasibility studies: the French experience. J Am Coll Cardiol. 2006;47:1214–23.CrossRefPubMed Cribier A, Eltchaninoff H, Tron C, et al. Treatment of calcific aortic stenosis with the percutaneous heart valve: mid-term follow-up from the initial feasibility studies: the French experience. J Am Coll Cardiol. 2006;47:1214–23.CrossRefPubMed
71.•
go back to reference Cohen MG, Singh V, Martinez CA, et al. Transseptal antegrade transcatheter aortic valve replacement for patients with no other access approach - a contemporary experience. Catheter Cardiovasc Interv. 2013;82:987–93. Contemporary experience with the transseptal approach.CrossRefPubMed Cohen MG, Singh V, Martinez CA, et al. Transseptal antegrade transcatheter aortic valve replacement for patients with no other access approach - a contemporary experience. Catheter Cardiovasc Interv. 2013;82:987–93. Contemporary experience with the transseptal approach.CrossRefPubMed
Metadata
Title
Access Options for Transcatheter Aortic Valve Replacement in Patients with Unfavorable Aortoiliofemoral Anatomy
Authors
Jayendrakumar S. Patel
Amar Krishnaswamy
Lars G. Svensson
E. Murat Tuzcu
Stephanie Mick
Samir R. Kapadia
Publication date
01-11-2016
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 11/2016
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-016-0788-8

Other articles of this Issue 11/2016

Current Cardiology Reports 11/2016 Go to the issue

Echocardiography (JM Gardin, Section Editor)

Normal Variants in Echocardiography

Heart Failure (MR Mehra and E Joyce, Section Editors)

Angiotensin-Neprilysin Inhibition as a Paradigm for All?

Public Health Policy (T Gaziano, Section Editor)

Cardiovascular Complications of HIV in Endemic Countries