Transapical Versus Transaortic Transcatheter Aortic Valve Implantation: A Systematic Review

Benjamin Martin Dunne, Darren Tan, Daniel Chu, Victor Yau, Jinguo Xiao, Kwok-ming Ho, Gerald Yong, Robert Larbalestier

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)


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.
Original languageEnglish
Pages (from-to)354-361
Number of pages8
JournalThe Annals of Thoracic Surgery
Issue number1
Publication statusPublished - Jul 2015


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