Transaortic Transcatheter Aortic Valve Implantation With the Edwards Sapien Valve: Feasibility, Technical Considerations, and Clinical Advantages

Clinical outcomes and prognostic factors of transcatheter aortic valve implantation in bicuspid aortic valve patients

“…Device sizes were selected based on three-dimensional, multidetector-row computed tomography-based annular measurements or transesophageal echocardiogram assessment. All TAVR procedures were conducted in accordance with local guidelines using standard techniques via transfemoral, transapical, or transaortic access, and the Sapien XT and Sapien 3 (Edwards Lifesciences, Irvine, California, USA) were implanted (24)(25)(26)(27)(28)(29).…”

Transaortic Transcatheter Aortic Valve Replacement

“…Of particular note in this series is the low need for postoperative pacemaker implantation, only 7 %, which may suggest that TAo-TAVR facilitates more accurate valve positioning compared to TF-TAVR. Etienne et al [ 12 ], Latsios et al [ 13 ], and Pascual et al [ 14 ] have also published very small case series of successful TAo-TAVR.…”

Transcatheter aortic valve replacement

“…55,56 An increased risk of stroke has been discussed but has not been confirmed yet. 56 If the ascending aorta is not accessible, the brachiocephalic artery has been proposed as a possible alternative. 58 Another alternative access route is the subclavian or axillary artery.…”

“…51 The direct approach has been successfully employed and described by several groups using both the CoreValve and the SAPIEN valve. [55][56][57] Depending on the type of valve, a specific distance between the aortic valve and the insertion point in the ascending aorta is required. 51 Since cardiac surgeons are used to handling the ascending aorta for cannulation and access, they usually feel very comfortable with this approach.…”