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The Transaxillary Route as a Second Access Option in TAVI Procedures: Experience of a Single Centre

Author

Listed:
  • Saverio Muscoli

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Valeria Cammalleri

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy
    Department of Cardiology, University Campus Biomedico of Rome, Via Alvaro del Portillo 200, 00133 Rome, Italy)

  • Michela Bonanni

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Francesca Romana Prandi

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Angela Sanseviero

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Gianluca Massaro

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Marco Di Luozzo

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Marcello Chiocchi

    (Department of Radiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Andrea Ascoli Marchetti

    (Department of Vascular Surgery, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Arnaldo Ippoliti

    (Department of Vascular Surgery, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Alessia Zingaro

    (Department of Anesthesia, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

  • Gian Paolo Ussia

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy
    Department of Cardiology, University Campus Biomedico of Rome, Via Alvaro del Portillo 200, 00133 Rome, Italy)

  • Francesco Romeo

    (Department of Cardiology, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy
    Department of Cardiology, Faculty of Medicine, Unicamillus-Medical University of Rome, Via di Sant Alessandro 8, 00133 Rome, Italy)

  • Pasquale De Vico

    (Department of Anesthesia, Tor Vergata University of Rome, Viale Oxford 81, 00133 Rome, Italy)

Abstract

Background: The aim of our study was to determine the feasibility and efficacy of transaxillary (TAX) TAVI in patients not eligible for the transfemoral route. Methods: This is a retrospective study of a single center. We analysed 262 patients treated with TAVI. In 17 patients (6.5%), the procedure was performed with the TAX approach. Procedural and hospital data, 30-day safety, and clinical efficacy were assessed and compared between the transfemoral and TAX groups. Results: In the TAX groups, we found a higher prevalence of men ( p = 0.001), smokers ( p = 0.033), and previous strokes ( p = 0.02). The EUROSCORE II was higher in the TAX group ( p = 0.014). The success rate of the device was 100%. TAX was associated with a longer procedure time ( p = 0.001) and shorter median device time ( p = 0.034) in minutes. Patients treated with TAX had a longer hospital stay ( p = 0.005) and higher overall bleeding rate ( p = 0.001). Peripheral neurological complications were more frequent with TAX ( p = 0.001), which almost completely resolved by 30 days. Conclusions: TAX TAVI is safe and effective and should be considered as a second choice when transfemoral TAVI is not feasible due to severe comorbidities.

Suggested Citation

  • Saverio Muscoli & Valeria Cammalleri & Michela Bonanni & Francesca Romana Prandi & Angela Sanseviero & Gianluca Massaro & Marco Di Luozzo & Marcello Chiocchi & Andrea Ascoli Marchetti & Arnaldo Ippoli, 2022. "The Transaxillary Route as a Second Access Option in TAVI Procedures: Experience of a Single Centre," IJERPH, MDPI, vol. 19(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8649-:d:864062
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