Hafid Amrane1*, MD; Fabiano Porta1, MD; Adrianus J. van Boven2, MD, PhD; Sjoerd H. Hofma2, MD, PhD; Stuart J. Head3, MSc; A Pieter Kappetein3, MD, PhD
1. Medisch Centrum Leeuwarden, Department of Cardiothoracic Surgery, Leeuwarden, The Netherlands; 2. Medisch Centrum Leeuwarden, Department of Cardiology, Leeuwarden, The Netherlands; 3. Erasmus Medisch Centrum, Department of Cardioth
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 ...