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Updated: Jan 5, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Recent updates in transcatheter aortic valve implantation
1Division of Cardiology, Daegu Veterans Hospital, Daegu, Korea.
Transcatheter aortic valve implantation (TAVI) is a safe and effective alternative to surgery for aortic valve replacement. This review covers TAVI
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Transcatheter aortic valve implantation (TAVI) has become a standardized procedure worldwide.
- TAVI is a viable alternative to surgical aortic valve replacement for intermediate-risk patients.
- Indications for TAVI have expanded to include bicuspid aortic valves, low-risk patients, younger individuals, and those with fewer comorbidities.
Purpose of the Study:
- To provide a comprehensive overview of the current landscape of TAVI.
- To discuss the evolution, achievements, and ongoing challenges in TAVI.
- To explore future directions and perspectives in TAVI treatment.
Main Methods:
- This is a review article.
- The authors synthesized current literature and clinical data on TAVI.
- The review focuses on past, present, and future aspects of TAVI.
Main Results:
- TAVI has seen significant advancements, with over 350,000 procedures globally.
- TAVI is now indicated for a broader range of patients, including low-risk and younger individuals.
- Key complications like paravalvular regurgitation, conduction abnormalities, cardiac tamponade, and stroke require ongoing attention.
Conclusions:
- TAVI has transformed aortic valve replacement, offering a less invasive option.
- Continued research is essential to refine TAVI techniques and minimize complications.
- The future of TAVI involves further expansion of its use and improved patient outcomes.
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