Transcatheter aortic valve implantation via the direct aortic access, a promising new approach

Abstract

Objective: The transcatheter aortic valve implantation (TAVI) is an established therapy option for high risk patients with severe aortic valve stenosis. The peripheral arterial (Femoral or Subclavien) and the minimal invasive surgical access via Apex are the standard access routes. Out come and prognoses of TAVI is determined by the peripheral vessel complications, strokes, paravalvular leak and apical cardiac infarction. The direct aortic (DA) approaches is a new alternative for the minimal invasive surgical TAVI access. We report our experience and discuss the different aspects this technique.