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Non‐femoral TAVR: Time to stratify alternative vascular approaches
Author(s) -
Guedeney Paul,
Mehran Roxana
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27960
Subject(s) - medicine , valve replacement , gold standard (test) , cardiology , surgery , radiology , stenosis
Key Points Although transfemoral transcatheter aortic valve replacement (TAVR) is the gold standard, this approach is not be feasible in approximately 15% of the patients. Trans‐carotid TAVR may be less invasive than transthoracic routes for TAVR, and has been associated with encouraging results. Further prospective studies comparing alternative access routes in patients with whom transfemoral TAVR is not feasible are warranted, to propose an evidence‐based algorithm guiding the physician decision.