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Updated: Jun 20, 2026
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
[Transcatheter aortic valve implantation: surgeon's view]
Sabine Bleiziffer1, Robert Bauernschmitt, Hendrik Ruge
1Klinik für Herz- und Gefässchirurgie, Deutsches Herzzentrum München, München, Germany. bleiziffer@dhm.mhn.de
Herz
|August 28, 2009
Summary
Transcatheter aortic valve implantation offers a less invasive option for aortic stenosis. Optimal treatment requires a multidisciplinary team in a hybrid suite for safe and effective patient care.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Transcatheter aortic valve implantation (TAVI) is an emerging, minimally invasive treatment for severe aortic stenosis.
- This approach offers an alternative for patients unsuitable for traditional surgery.
Purpose of the Study:
- To demonstrate the necessity of a multidisciplinary team for optimal TAVI.
- To highlight the role of a hybrid suite in managing TAVI procedures and complications.
Main Methods:
- A cohort of 234 patients underwent TAVI between June 2007 and April 2009.
- Various access sites were utilized, including femoral artery, left ventricular apex, subclavian artery, and ascending aorta.
- An algorithm was developed to guide the selection of the most suitable access site per patient.
Main Results:
- The 30-day mortality rate was 11.2% in this high-risk group.
- Some periprocedural complications necessitated surgical intervention.
- Significant clinical improvement was observed in patients six months post-procedure.
Conclusions:
- Integrating TAVI into cardiac surgery programs allows a multidisciplinary team to offer comprehensive treatment options.
- A hybrid suite is essential for the safe and qualified execution of TAVI and effective management of complications.
