title: Percutaneous transapical access: current status.
abstract: Percutaneous transapical access provides a direct route to many cardiac structures difficult to reach with conventional interventional approaches. With recent developments of new technologies in structural heart disease, there has been an increasing interest in the use of transapical access for cardiac interventions. Meticulous planning, careful access and closure techniques are essential. Development of novel imaging technologies and dedicated closure devices are warranted to allow a greater number of operators to successfully adopt percutaneous transapical access and further reduce complication rates. This article is an overview of the current status and utility of percutaneous transapical access with focus on multimodality imaging, technique and potential complications of this approach.
authors.affiliation: Lenox Hill Heart and Vascular Institute of New York, North Shore LIJ Health System, New York, USA.
authors.forename: Yuriy
authors.initials: Y
authors.lastname: Dudiy
authors.forename: Chad
authors.initials: C
authors.lastname: Kliger
authors.forename: Vladimir
authors.initials: V
authors.lastname: Jelnin
authors.forename: Alzola
authors.initials: A
authors.lastname: Elisabeth
authors.forename: Itzhak
authors.initials: I
authors.lastname: Kronzon
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Ruiz
mesh_terms: D057791:Cardiac Imaging Techniques; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D018579:Patient Selection; D011183:Postoperative Complications; D013536:Suture Techniques