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Updated: May 12, 2026
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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Future perspectives in transcatheter aortic valve implantation
Christos V Bourantas1, Nicolas M van Mieghem, Vasim Farooq
1Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands.
International Journal of Cardiology
|April 20, 2013
Summary
Transcatheter aortic valve replacement (TAVR) offers a less invasive option for severe aortic stenosis. While TAVR shows promise, ongoing research is needed to address long-term durability and patient selection for wider adoption.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Technology
Background:
- Severe symptomatic aortic stenosis requires treatment.
- Transcatheter aortic valve replacement (TAVR) is an emerging therapeutic option.
- TAVR has demonstrated value in high-risk and inoperable patient populations.
Purpose of the Study:
- To review recent advancements in TAVR technology and application.
- To highlight current limitations and challenges associated with TAVR.
- To discuss future perspectives for TAVR in managing aortic stenosis.
Main Methods:
- Review of clinical evidence from registries and randomized control trials.
- Analysis of technological developments in TAVR valves and delivery systems.
- Evaluation of patient outcomes and complication rates.
Main Results:
- TAVR technology has advanced, reducing complications and broadening applications.
- Evidence supports TAVR's efficacy in specific patient groups.
- Concerns remain regarding long-term device durability and optimal patient selection.
Conclusions:
- TAVR is a valuable treatment for severe aortic stenosis, particularly in high-risk patients.
- Further research is necessary to address limitations and optimize TAVR adoption.
- Future directions include improving long-term outcomes and expanding TAVR indications.
