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Related Experiment Video

Updated: May 15, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

[Transcutaneous aortic valve implantation].

H Möllmann1, C Liebetrau, H Nef

  • 1Abteilung für Kardiologie, Kerckhoff-Klinik, Bad Nauheim, Deutschland. h.moellmann@kerckhoff-klinik.de

Der Internist
|December 25, 2012
PubMed
Summary

As life expectancy rises, more elderly patients face aortic valve stenosis (AS). Transfemoral and transapical aortic valve implantation (T-AVI) offers a superior alternative to medical treatment for high-risk patients ineligible for surgery.

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Area of Science:

  • Cardiology and Cardiac Surgery
  • Geriatric Medicine

Context:

  • Increasing life expectancy leads to a growing elderly population with comorbidities.
  • Aortic valve stenosis (AS) is a prevalent condition in this demographic.
  • Conventional surgical aortic valve replacement is the standard for severe, symptomatic AS.

Purpose:

  • To review the role and efficacy of Transfemoral and Transapical Aortic Valve Implantation (T-AVI) in managing severe aortic valve stenosis.
  • To highlight T-AVI as a crucial intervention for high-risk and inoperable patients.

Summary:

  • Transfemoral and transapical aortic valve implantation (T-AVI) is now a standard procedure for severe AS patients deemed inoperable or at very high surgical risk.
  • T-AVI demonstrates superior outcomes compared to standard medical treatment in this high-risk cohort.

Related Experiment Videos

Last Updated: May 15, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

  • A multidisciplinary heart team approach, involving cardiac surgeons and cardiologists, is essential for patient selection for T-AVI.

    • Impact:

    • T-AVI provides a life-saving alternative for elderly patients with severe AS who cannot undergo traditional surgery.
    • This minimally invasive approach improves outcomes and quality of life for a vulnerable patient population.
    • The consensus conference model ensures optimal patient selection and management strategies for T-AVI procedures.