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Related Experiment Video

Updated: Sep 3, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:02

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

Published on: August 8, 2025

162

Tips and Tricks in Transaortic TAVR.

Marco Gennari1, Piero Trabattoni1, Marco Agrifoglio1,2

  • 1Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Monzino, Milan, Italy.

Brazilian Journal of Cardiovascular Surgery
|July 27, 2022
PubMed
Summary

Transcatheter aortic valve replacement (TAVR) offers an alternative for severe aortic stenosis when the transfemoral approach is not possible. Transaortic TAVR provides a viable option, especially for patients with complex aortic anatomy, with procedural tips enhancing safety and speed.

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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Surgical Innovation

Background:

  • Transfemoral transcatheter aortic valve replacement (TAVR) is the standard for severe aortic stenosis.
  • The transfemoral approach may not be feasible in all patients.
  • Alternative access routes are crucial for expanding TAVR accessibility.

Purpose of the Study:

  • To present transaortic TAVR as an alternative access strategy.
  • To highlight the utility of transaortic TAVR in patients with challenging thoracoabdominal aortas.
  • To share procedural tips for safe and efficient transaortic TAVR.

Main Methods:

  • Transaortic TAVR performed via J mini-sternotomy or right anterolateral mini-thoracotomy.
  • Focus on specific techniques and strategies for optimal access and valve deployment.
Keywords:
Aortic Valve StenosisAortic Valve Stenosis.SternotomyThoracotomyTranscatheter Aortic Valve Replacement

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Last Updated: Sep 3, 2025

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  • Case examples or procedural descriptions illustrating the approach.

    • Main Results:

    • Transaortic TAVR is a feasible alternative when transfemoral access is contraindicated.
    • The described techniques facilitate safe and efficient valve implantation.
    • Successful outcomes can be achieved in patients with complex aortic anatomy.

    Conclusions:

    • Transaortic TAVR is a valuable option for severe aortic stenosis patients unsuitable for transfemoral access.
    • Mini-sternotomy and mini-thoracotomy approaches offer effective alternatives.
    • Adherence to specific procedural tips can ensure a fast and safe transaortic TAVR procedure.