A comparison of alternative access routes for transcatheter aortic valve implantation

Overtchouk, Pavel; Modine, Thomas

Type de document :

Article dans une revue scientifique: Article original

DOI :

10.1080/14779072.2018.1524295

PMID :

30232918

URL permanente :

http://hdl.handle.net/20.500.12210/15834

Titre :

A comparison of alternative access routes for transcatheter aortic valve implantation

Auteur(s) :

Overtchouk, Pavel [Auteur]
Modine, Thomas [Auteur]

Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U1171

Titre de la revue :

Expert review of cardiovascular therapy

Nom court de la revue :

Expert Rev Cardiovasc Ther

Date de publication :

2018-09-20

ISSN :

1744-8344

Mot(s)-clé(s) en anglais :

transaortic
TAVR
TAVI
transcaval
transsubclavian
transcarotid
transapical
Alternative

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

BACKGROUND: Alternative transcatheter aortic valve implantation (TAVI) approaches offer the possibility of valve replacement in patients ineligible to the transfemoral route. Authors provide an updated review of the existing ...
Lire la suite >BACKGROUND: Alternative transcatheter aortic valve implantation (TAVI) approaches offer the possibility of valve replacement in patients ineligible to the transfemoral route. Authors provide an updated review of the existing alternative approaches. Areas covered: A systematic review of alternative approaches for TAVI was undertaken. The feasibility, safety, efficacy, and technical requirements of the transapical, transaortic, transcarotid, transsubclavian, and transcaval approaches have been compared. A multislice computed tomography is often necessary for pre-operative planning. Although the first developed, the transapical pathway tends to be abandoned because of its high morbidity. Transaortic approach requires a mini-sternotomy or thoracotomy and general anesthesia limiting its' acceptance. Transcarotid approach requires a mini-invasive surgical cutdown but is feasible under conscious sedation. Registry data provided reassurance regarding the stroke risk with the transcarotid approach. Transsubclavian pathway is recent and feasible percutaneously although necessitates additional complex maneuvers to avoid serious bleeding complications, which extends its' learning curve. Transcaval approach is still experimental but may benefit from technological advances. Expert commentary: The choice of the alternative approach dependents on patient anatomy and comorbidities, and local operator expertise and skills. Transaortic, transcarotid and transsubclavian are nowadays used the most. However, comparative data to favor one approach over another is lacking and further research is warranted.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
CNRS
Inserm
Université de Lille

Collections :

Lille Neurosciences & Cognition (LilNCog) - U 1172

Équipe(s) de recherche :

Troubles cognitifs dégénératifs et vasculaires

Date de dépôt :

2019-11-27T13:01:40Z

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