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Review
. 2022 Mar 4:9:798154.
doi: 10.3389/fcvm.2022.798154. eCollection 2022.

Minireview: Transaortic Transcatheter Aortic Valve Implantation: Is There Still an Indication?

Lukas Stastny  1 , Christoph Krapf  1 , Julia Dumfarth  1 , Simone Gasser  1 , Axel Bauer  2 , Guy Friedrich  2 , Bernhard Metzler  2 , Gudrun Feuchtner  3 , Agnes Mayr  3 , Michael Grimm  1 , Nikolaos Bonaros  1
Affiliations
Review

Minireview: Transaortic Transcatheter Aortic Valve Implantation: Is There Still an Indication?

Lukas Stastny et al. Front Cardiovasc Med. .

Abstract

Transaortic (TAo) transcatheter aortic valve implantation has become a valid alternative access route in patients with unsuitable femoral arteries. The current literature does not allow to clearly favor one of the alternative access routes. Every approach has its specific advantages. Transaortic (TAo) access is of particular importance in the case of calcifications of the supra-aortic branches and the aortic arch, as under these circumstances other alternative access routes, such as transaxillary or transcarotid, are not feasible. The purpose of this minireview is to give an overview and update on TAo transcatheter aortic valve implantation focusing on indication, technical aspects, and recent clinical data.

Keywords: TAVI; alternative access route for transcatheter aortic valve; aortic valve stenosis; technical aspects; transaortic transcatheter aortic valve implantation.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Preoperative MSCT. (A) 3D reconstruction of the aortic arch, appropriate location for aortic puncture is highlighted in gray. The distance between the puncture and the aortic annulus should be at least 5 cm. (B) Sagittal plane of the aortic arch. (C) Coronary plane of the ascending aorta.
See this image and copyright information in PMC

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