The evolution of transapical aortic valve implantation and new perspectives

被引：3

作者：

Kempfert, Joerg ^{[1
]}

Van Linden, Arnaud ^{[1
]}

Holzhey, David ^{[2
]}

Rastan, Ardawan ^{[2
]}

Blumenstein, Johannes ^{[1
]}

Mohr, Friedrich W. ^{[2
]}

Walther, Thomas ^{[1
]}

机构：

[1] Kerckhoff Klin Bad Nauheim, Dept Cardiac Surg, D-61231 Bad Nauheim, Germany

[2] Heart Ctr Leipzig, Dept Cardiac Surg, Leipzig, Germany

来源：

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES | 2011年 / 20卷 / 02期

关键词：

Cardiac surgery; minimally invasive surgery; catheter interventions; HIGH-RISK PATIENTS; PERICARDIAL BIOPROSTHESIS; ELDERLY-PATIENTS; NATURAL-HISTORY; REPLACEMENT; STENOSIS; OCTOGENARIANS; OUTCOMES; PROSTHESIS; BENEFITS;

D O I：

10.3109/13645706.2011.558101

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

Transapical aortic valve implantation (TA-AVI) is a truly minimally invasive technique allowing for off-pump aortic valve implantation in selected high-risk patients. Potential advantages are the avoidance of cardiopulmonary bypass, cross-clamping and sternotomy. Compared to transfemoral aortic valve implantation the current strengths of the transapical approach are the avoidance of the femoral arteries as well as a very low stroke risk due to minimal manipulations in the aortic arch. TA-AVI has evolved to a routine procedure in selected specialized centers providing a safe and reproducible treatment option for high-risk elderly patients suffering from severe symptomatic aortic stenosis.

引用

页码：107 / 116

页数：10

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