Tools and Techniques - Clinical: the transaortic approach through a mini-sternotomy using the self-expandable CoreValve Revalving System

In this chapter of Tools and Techniques - Clinical: the transaortic approach through a mini-sternotomy using the self-expandable CoreValve® Revalving System (Medtronic Inc., Minneapolis, MN, USA) are discussed using a stepwise approach. The following is a summarised overview of this technique. The complete, unabridged version with images is available online at www.eurointervention.org.

Background and indications

The transaortic approach (TAo-TAVI) is a recently developed surgical technique to perform transcatheter aortic valve implantation (TAVI) in either high-risk or inoperable patients. TAo-TAVI is predominantly reserved for patients in whom the vascular anatomy does not allow transfemoral valve implantation, and ...