Cardiology Department, Nicosia General Hospital, 2029, Nicosia, Cyprus.
Cardiology Department, Nicosia General Hospital, 2029, Nicosia, Cyprus.
Curr Probl Cardiol. 2021 Dec;46(12):100844. doi: 10.1016/j.cpcardiol.2021.100844. Epub 2021 Mar 19.
The optimal approach for Transcatheter aortic valve implantation (TAVI) is the transfemoral access but alternative TAVI approaches offer the possibility of valve replacement in patients who are not eligible to the transfemoral route. This review paper intends to compare the current available alternative approaches for TAVI in terms of their safety and efficacy, based on the current literature. The transapical, transaortic, transsubclavian, transcarotid, transcaval and suprasternal approaches have been analyzed. The choice of the alternative approach dependents on local Heart Team expertise, patient specific characteristics, access specific characteristics and the need or not for general anesthesia. More studies are needed to investigate the impact of each individual approach on long-term outcomes.
经导管主动脉瓣植入术（TAVI）的最佳方法是经股动脉入路，但其他 TAVI 方法为不能行经股动脉途径的患者提供了瓣膜置换的可能性。本综述文章旨在根据现有文献，比较 TAVI 目前可用的替代方法在安全性和有效性方面的情况。分析了经心尖、经主动脉、经锁骨下、经颈动脉、经腔静脉和经胸骨 approaches 的方法。替代方法的选择取决于当地心脏团队的专业知识、患者的具体特征、入路的具体特征以及是否需要全身麻醉。需要更多的研究来调查每种单独方法对长期结果的影响。
