Percutaneous vs. surgical axillary access for transcatheter aortic valve implantation: the TAXI registry

Giordano, Arturo; Schaefer, Andreas; Bhadra, Oliver D.; Conradi, Lenard; Westermann, Dirk; Bajoras, Vilhelmas; Søndergaard, Lars; Qureshi, Waqas; Kakouros, Nikolaos; Aldrugh, Summer; Amat‐Santos, Ignacio J.; MARTÍNEZ, Sandra SANTOS; Kaneko, Tsuyoshi; Harloff, Morgan; Teles, Rui Campante; Nolasco, Tiago; Neves, José Pedro; Abecasis, Miguel; Werner, Nikos; Lauterbach, Michael; Sacha, Jerzy; Krawczyk, Krzysztof; Trani, Carlo; Romagnoli, Enrico; Mangieri, Antonio; Condello, Francesco; Regueiro, Ander; Brugaletta, Salvatore; Biancari, Fausto; Niemelä, Matti; Giannini, Francesco; Toselli, Marco; Ruggiero, Rossella; Buono, Andrea; Maffeo, Diego; Bruno, Francesco; Conrotto, Federico; D’Ascenzo, Fabrizio; Savontaus, Mikko; Pykäri, Jouni; Ielasi, Alfonso; Tespili, Maurizio; Corcione, Nicola; Ferraro, Paolo; Morello, Alberto; Albanese, Michele; Biondi‐Zoccai, Giuseppe

doi:10.23736/s0031-0808.22.04750-4

Cited by 7 publications

(2 citation statements)

References 31 publications

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“…48 Although TAVR is a continually growing procedure, the femoral approach often cannot be performed. Recently, new alternative access such as trans-axillary 49 access or trans-caval access are emerging. The median Society of Thoracic Surgeons predicted risk of mortality was similar among patients treated by trans-carotid, trans-apical and trans-aortic access, but there is little information on the use of embolic protection devices when TAVR is performed with accesses other than the femoral one.…”

Section: Discussionmentioning

confidence: 99%

Clinical impact of cerebral protection during transcatheter aortic valve implantation

Boccuto,

Carabetta,

Cacia

et al. 2024

Eur J Clin Investigation

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BackgroundEmbolization of debris can complicate transcatheter aortic valve implantation (TAVI) causing stroke. Cerebral embolism protection (CEP) devices can divert or trap debris.PurposeTo evaluate the efficacy of CEP during TAVI vs the standard procedure.Data SourcesPubMed, SCOPUS and DOAJ 1/01/2014–04/12/2023.Study SelectionRandomized and observational studies comparing CEP versus standard TAVI, according to PRISMA. Primary outcome: stroke. Secondary outcomes: death, bleeding, vascular access complications, acute kidney injury and infarct area.Data ExtractionTwo investigators independently assessed study quality and extracted data.Data SynthesisTwenty‐six articles were included (540.247 patients). The primary endpoint was significantly lower (RR = 0.800 95%CI:0.682–0.940; p = 0.007) with CEP. Similarly, death rates were significantly lower with CEP (RR = 0.610 95%CI:0.482–0.771; p < 0.001). No difference was found for bleeding (RR = 1.053 95%CI:0.793–1.398; p = 0.721), vascular complications (RR = 0.937 95%CI:0.820–1.070; p = 0.334) or AKI (RR = 0.982 95%CI:0.754–1.279; p = 0.891).ConclusionsUse of CEP during TAVI is associated with improved outcomes. Future studies will identify patients who benefit most from CEP.

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Section: Discussionmentioning

confidence: 99%

Clinical impact of cerebral protection during transcatheter aortic valve implantation

Boccuto,

Carabetta,

Cacia

et al. 2024

Eur J Clin Investigation

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show abstract

“…However, for patients with left main stenosis (LMS), poor left ventricular function, and multiple comorbidities, PCI carries a high risk and may require mechanical circulatory support, such as the Impella pump [ 3 ]. The percutaneous transaxillary approach (PTAA) offers a promising alternative for large-bore interventions in patients without femoral access [ 4 ]. However, limited data are available on the effectiveness of PTAA in cases involving the aforementioned clinical issues.…”

mentioning

confidence: 99%

Percutaneous transaxillary approach for balloon aortic valvuloplasty and complex percutaneous coronary intervention with Impella support

Sacha,

Krawczyk,

Lipski

et al. 2024

Cardiol J.

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Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry

Schaefer¹,

Bhadra²,

Conradi³

et al. 2023

Clin Res Cardiol

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Percutaneous vs. surgical axillary access for transcatheter aortic valve implantation: the TAXI registry

Cited by 7 publications

References 31 publications

Clinical impact of cerebral protection during transcatheter aortic valve implantation

Clinical impact of cerebral protection during transcatheter aortic valve implantation

Percutaneous transaxillary approach for balloon aortic valvuloplasty and complex percutaneous coronary intervention with Impella support

Procedural success in transaxillary transcatheter aortic valve implantation according to type of transcatheter heart valve: results from the multicenter TAXI registry

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