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Updated: Apr 19, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Transcatheter aortic valve replacement: US experience.

John K Forrest1, Abeel Mangi, Irena Vaitkeviciute

  • 1aStructural Heart Disease Program, Yale New Haven Hospital bYale University School of Medicine cTrans-Catheter Therapies, Center for Advanced Heart Failure, Mechanical Circulatory Support & Heart Transplantation, Yale New Haven Hospital dDepartment of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut, USA.

Current Opinion in Anaesthesiology
|December 9, 2014
PubMed
Summary
This summary is machine-generated.

Transcatheter aortic valve replacement (TAVR) offers a vital treatment for aortic stenosis, especially for high-risk patients. Evolving TAVR technology and a multispecialty heart team approach are expanding its use and improving patient selection.

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Aortic stenosis is the most common valvular heart disease in the USA.
  • Aortic valve replacement is the definitive treatment.
  • Transcatheter aortic valve replacement (TAVR) is an established option for patients unsuitable for or at high risk with surgical aortic valve replacement (SAVR).

Purpose of the Study:

  • To review the transcatheter aortic valve replacement (TAVR) procedure.
  • To describe the critical stages of TAVR.
  • To highlight the role of evolving technology and the heart team approach in TAVR.

Main Methods:

  • Review of current literature on TAVR.
  • Description of the TAVR procedure and its key components.
  • Emphasis on the multispecialty heart team's role in patient evaluation and procedural planning.

Main Results:

  • A multispecialty heart team is essential for optimal patient selection and treatment planning (TAVR vs. SAVR, access site, valve choice, imaging, anesthesia).
  • Performing TAVR in the cath lab under local anesthesia reduces procedure duration and cost.
  • Technological advancements are expanding the eligibility of patients for TAVR.

Conclusions:

  • TAVR is a crucial treatment for patients at increased risk for SAVR.
  • Technological advancements will broaden the patient population for TAVR.
  • A multidisciplinary heart team is vital for refining TAVR techniques, patient selection, and evaluating new technologies.