title: Transapical Versus Transaortic Transcatheter Aortic Valve Implantation: A Systematic Review.
abstract: Two alternative approaches for transcatheter aortic valve implantation (TAVI) exist for patients unsuitable for the transfemoral approach; the transapical and the transaortic approaches. It is unclear as to which approach has superior short-term outcomes. A systematic review and meta-analysis was performed to answer this question. Mortality was equivalent in the 2 groups. There was a trend toward a lower rate of stroke in the transaortic group (0.9% vs 2.1%) but this was not statistically significant. Conversion to surgical aortic valve replacement, paravalvular leak, pacemaker requirement, and major bleeding occurred at equivalent rates.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia; Western Australian Cardiothoracic Research and Audit Group, Department of Cardiothoracic Surgery, Fiona Stanley Hospital, Perth, Western Australia. Electronic address: bdunne14784@gmail.com.
authors.forename: Ben
authors.initials: B
authors.lastname: Dunne
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia.
authors.forename: Darren
authors.initials: D
authors.lastname: Tan
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia.
authors.forename: Daniel
authors.initials: D
authors.lastname: Chu
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia.
authors.forename: Victor
authors.initials: V
authors.lastname: Yau
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia.
authors.forename: Jinguo
authors.initials: J
authors.lastname: Xiao
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia; Western Australian Cardiothoracic Research and Audit Group, Department of Cardiothoracic Surgery, Fiona Stanley Hospital, Perth, Western Australia.
authors.forename: Kwok Ming
authors.initials: KM
authors.lastname: Ho
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia.
authors.forename: Gerald
authors.initials: G
authors.lastname: Yong
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia; Western Australian Cardiothoracic Research and Audit Group, Department of Cardiothoracic Surgery, Fiona Stanley Hospital, Perth, Western Australia.
authors.forename: Robert
authors.initials: R
authors.lastname: Larbalestier
mesh_terms: D001024:Aortic Valve Stenosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D065467:Transcatheter Aortic Valve Replacement