Alternative access for transcatheter aortic valve replacement in older adults: A collaborative study from France and United States.
Abdulla A DamlujiMagdalena MurmanSeunghwan ByunMauro MoscucciJon R ResarRani K HasanCarlos E AlfonsoRoger G CarrilloDonald B WilliamsChristopher C KwonPeter W ChoMarina DijosJulien PeltanAlan W HeldmanMauricio D CohenLionel LerouxPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2018)
Although regional differences exist in the choice of alternative access techniques, centers with high technical expertise can provide a safe alternative to traditional TF TAVR. TAo TAVR was associated with higher in-hospital mortality than other non-TF approaches, and this may have reflected patient rather than procedural factors. All alternative access techniques had similar mortality rates and clinical outcomes at one-year follow-up. Trans-carotid access is safe and feasible compared to other non-TF access techniques.