Subclavian Access for Transcatheter CoreValve® Aortic Prosthesis Implantation: Data from the Brazilian Registry

Acesso via subclávia em implante de válvula aórtica transcateter: uma boa alternativa para candidatos não adequados para a via transfemoral

“…In conclusion, the transfemoral approach is not possible in a high proportion of TAVI candidates. Seve ral prior studies have shown that the subclavian approach using the CoreValve ® system is a good alternative for TAVI candidates that are not well-suited candidates for transfemoral TAVI, a finding corroborated by the study by Brito Junior et al 12 Future randomized studies are needed in order to evaluate the potential superiority of this approach compared to other alternative approaches, as well as to the transfemoral approach.…”

“…In the current issue of the Revista Brasileira de Cardiologia Invasiva, Brito Júnior et al 12 reports TAVI results using the subclavian access method gathered from the Brazilian Registry of TAVI. Among the 277 patients included in this registry, 8 patients (2.9%) were treated with the subclavian approach using the CoreValve ® system, and all of procedures were performed under general anaesthesia and used dissection.…”