title: Transaortic transcatheter aortic valve implantation with the Edwards SAPIEN valve: feasibility, technical considerations, and clinical advantages.
abstract: The randomized Partner study [1] has recently shown superiority of transfemoral transcatheter aortic valve implantation, in patients who are not candidates for surgical aortic valve replacement, when compared with conventional nonsurgical therapies. In patients who are not candidates for the transfemoral approach because of peripheral vascular disease or other contraindications, deployment of the SAPIEN valve (Edwards Lifesciences, Irvine, CA) in an antegrade fashion can be achieved through the apex of the left ventricle. However this valuable technique carries specific risks inherent to the access route. Transaortic implantation, through an upper ministernotomy, offers a new alternative that could avoid complications related to the transapical approach.
authors.affiliation: Department of Cardiac Surgery and Cardiology, Clinique Saint Luc, Bouge, Belgium. pierre.yves.etienne@gmail.com
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Etienne
authors.forename: Spiridon
authors.initials: S
authors.lastname: Papadatos
authors.forename: Elie
authors.initials: E
authors.lastname: El Khoury
authors.forename: Denis
authors.initials: D
authors.lastname: Pieters
authors.forename: Joel
authors.initials: J
authors.lastname: Price
authors.forename: David
authors.initials: D
authors.lastname: Glineur
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006328:Cardiac Catheterization / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D056346:Sternotomy / Q000379:methods