J Cardiothorac Surg
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J Cardiothorac Surg · Sep 2017
Transfemoral versus transapical approach for transcatheter aortic valve implantation: hospital outcome and risk factor analysis.
Transcatheter aortic valve implantation is indicated in high-risk patients with aortic stenosis. We compared the clinical outcome of 180 consecutive patients who underwent transapical (TA) and transfemoral (TF) procedures in a single centre. ⋯ In our experience, the TA and TF-group presented different risk profiles but mortality rate and adverse neurological outcome had a similar incidence. The transfemoral approach carried more vascular complications and paravalvular leaks but last-generation devices will improve this outcome.