Related Experiment Video
Updated: Mar 30, 2026
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Transaortic transcatheter aortic valve implantation using the Lotus valve: first-in-man experience
Vinnie Bapat1, Kaleab N Asrress, Ricardo Boix
1Department of Cardiothoracic Surgery and Department of Cardiology, Guy's and St Thomas' Hospital, London, United Kingdom.
Aims:
To demonstrate the feasibility of implanting the Lotus second-generation transcatheter heart valve (THV) (designed for a transfemoral procedure) via a transaortic approach.
Methods And Results:
We describe a case with severe aortic stenosis in the presence of small calibre and calcified femoral access and severe chronic obstructive pulmonary disease. The transaortic approach was the ideal approach for this patient and we successfully implanted a 25 mm Lotus valve without any complication.
Conclusions:
The transaortic access is a feasible and safe alternative in patients who have suboptimal iliofemoral conduits and who will benefit from the unique features of the Lotus THV.
