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Thorac Cardiovasc Surg 2023; 71(02): 118-120
DOI: 10.1055/s-0041-1730449
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New Intercostal Transcatheter Aortic Valve Replacement Access: No Touch

Georg Lutter
1   Department of Experimental Cardiac Surgery and Heart Valve Replacement, University Hospital Schleswig-Holstein, Campus Kiel, Germany
2   Department of Cardiac and Vascular Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Lucian Lozonschi
3   Department of Cardiovascular Surgery, School of Medicine, Tampa General Hospital, University of South Florida, Florida, United States
,
Derk Frank
4   Department of Cardiology and Angiology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Thomas Puehler 
1   Department of Experimental Cardiac Surgery and Heart Valve Replacement, University Hospital Schleswig-Holstein, Campus Kiel, Germany
2   Department of Cardiac and Vascular Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany
› Author Affiliations Funding Deutsches Zentrum für Herz-Kreislaufforschung (DZHK).
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Abstract

Transcatheter aortic valve replacement (TAVR) is routinely performed via the transfemoral or transapical route. Subclavian, transcarotid, and transaortic access are described as alternative routes for TAVR. The small intercostal approach can be used for a safe TAVR without touching the ribs and sternum.

Keywords

minimally invasive - transcatheter aortic valve replacement - parasternal - intercostal


Publication History

Received: 18 January 2021

Accepted: 06 April 2021

Article published online:
27 June 2021

© 2021. Thieme. All rights reserved.

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