Transapical Versus Transaortic Transcatheter Aortic Valve Implantation: A Systematic Review

Publication date: Available online 20 May 2015 Source:The Annals of Thoracic Surgery Author(s): Ben Dunne , Darren Tan , Daniel Chu , Victor Yau , Jinguo Xiao , Kwok Ming Ho , Gerald Yong , Robert Larbalestier Two alternative approaches for transcatheter aortic valve implantation (TAVI) exist for patients unsuitable for the transfemoral approach; the transapical and the transaortic approaches. It is unclear as to which approach has superior short-term outcomes. A systematic review and meta-analysis was performed to answer this question. Mortality was equivalent in the 2 groups. There was a trend toward a lower rate of stroke in the transaortic group (0.9% vs 2.1%) but this was not statistically significant. Conversion to surgical aortic valve replacement, paravalvular leak, pacemaker requirement, and major bleeding occurred at equivalent rates.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research