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Published on: August 8, 2025
Transcatheter aortic valve implantation transapical: step by step
Thomas Walther1, Helge Möllmann, Arnaud van Linden
1Department of Cardiac Surgery, Kerckhoff HeartCenter, Bad Nauheim, Germany. t.walther@kerckhoff-klinik.de
Seminars in Thoracic and Cardiovascular Surgery
|August 3, 2011
Summary
Transcatheter aortic valve implantation (T-AVI) using the transapical (TA) approach offers a treatment for severe aortic stenosis in elderly patients. This article details specific aspects of the TA technique for T-AVI.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Transcatheter aortic valve implantation (T-AVI) is a key treatment for high-risk elderly patients with aortic stenosis.
- T-AVI can be performed via transfemoral, transsubclavian, transaortic, or transapical (TA) approaches.
Purpose of the Study:
- This article focuses on the specific techniques and considerations for the transapical approach in T-AVI.
Main Methods:
- Review of the transapical (TA) technique for transcatheter aortic valve implantation.
- Discussion of approved devices and ongoing evaluations for TA-AVI.
Main Results:
- CE mark approval for Edwards SAPIEN and SAPIEN XT prostheses via the TA approach since 2008.
- Several other devices have successfully completed "first in man trials" and are in pivotal studies.
Conclusions:
- The transapical approach is an established method for T-AVI, with multiple device options available and under investigation.
- Continued development and evaluation of devices for TA-AVI are expanding treatment possibilities.
