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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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Published on: August 8, 2025

[Which patient for TAVI in 2019?]

G Cayla¹, L Schmutz¹, C Soullier¹

¹Service de cardiologie, université de Montpellier, CHU de Nîmes, 30029 Nîmes, France.

Annales De Cardiologie Et D'Angeiologie

|November 1, 2019

Summary

This summary is machine-generated.

Transcatheter aortic valve replacement (TAVI) has transformed aortic stenosis treatment, expanding from inoperable to low-risk patients. This review details current TAVI indications based on individualized risk, technical, and anatomical factors.

Keywords:

Aortic stenosis Heart team Indications Rétrécissement aortique TAVI Transcatheter valve implantation Valve aortique percutanée

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Area of Science:

Cardiology
Interventional Cardiology
Cardiac Surgery

Background:

Aortic stenosis (AS) management has evolved significantly with percutaneous valve replacement.
Transcatheter aortic valve replacement (TAVI) indications have broadened considerably since its inception.
Initial TAVI use was limited to inoperable patients, now extending to low-surgical-risk individuals.

Purpose of the Study:

To outline the current recommended indications for TAVI.
To emphasize the importance of individualized patient assessment for TAVI suitability.
To detail the criteria used in TAVI decision-making, including risk, technical, and anatomical factors.

Main Methods:

This is a review article.
It synthesizes current guidelines and expert consensus on TAVI indications.
The review focuses on patient risk stratification, procedural technicalities, and specific anatomical considerations.

Main Results:

TAVI is increasingly indicated across a spectrum of surgical risk.
Patient selection requires a comprehensive evaluation of comorbidities and anatomical suitability.
Specific anatomical valvular criteria are crucial for successful TAVI outcomes.

Conclusions:

TAVI is a viable and evolving therapeutic option for aortic stenosis.
Individualized patient assessment is paramount for optimal TAVI indication.
The decision-making process integrates patient risk, technical feasibility, and anatomical factors.