A multivariable analysis was performed on data from 4 European centers for outcomes comparing trans-apical (TA; 10%) and transfemoral (TF; 90%) AVI. TA-AVI pts had higher predicted risk and more comorbidities. TA-AVI was associated with increased complications, hospital stay, 30 day mortality, and all cause long-term mortality.
Transapical Versus Transfemoral Aortic Valve Implantation: A Multicenter Collaborative Study
Submitted by: Erica Curcio
Source: Annals of Thoracic Surgery
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Author(s): Robert M.A. van der Boon, Bertrand Marcheix, Didier Tchetche, Alaide Chieffo, Nicolas M. Van Mieghem, Nicolas Dumonteil, Olivier Vahdat, Francesco Maisano, Patrick W. Serruys, A. Pieter Kappetein, Jean Fajadet, Antonio Colombo, Didier Carrié, Ron T. van Domburg, Peter P.T. de Jaegere