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Updated: Apr 20, 2026
Author Spotlight: Development of a Minimally Invasive Large-Animal Model for Reliable and Reproducible Cardiovascular Research
Published on: October 20, 2023
Thoracic aorta stent grafting through transapical access
Nabil Saouti1, Jan Albert Vos2, Daniel van de Heuvel2
1Department of Cardio-Thoracic Surgery, St Antonius Hospital, Nieuwegein, The Netherlands.
Background:
To describe the transapical approach for thoracic endovascular aortic repair (TEVAR).
Methods:
Three patients, 2 elective and 1 emergent, with thoracic aorta aneurysm are described with vascular or direct aortic inaccessible access, who underwent TEVAR through transapical access. The technique is described in detail emphasizing the usefulness of the through-and-through guidewire, rapid pacing, and transesophageal echocardiography guidance.
Results:
All patients were technical successfully treated with TEVAR through transapical access. The emergent patient, however, died due to multiorgan failure.
Conclusions:
Our early experience shows that the transapical approach for TEVAR procedures is feasible in experienced hands. The selection of the patient and careful planning based on imaging are of paramount importance and should lead to the most suitable access site tailored to the need of the individual patient.
