What is a Transapical TAVI and What Can it be Used to Treat?
TAVI's (transcatheter aortic valve implementations) have become some of the most common procedures used to alleviate the symptoms associated with an aortic stenosis. The percutaneous nature of this approach (the insertion of a replacement valve via the femoral artery) is also considered to be one of the safest options in situations when more invasive techniques are contraindicated. Having said this, it is important to note that a transapical TAVI still represents a feasible alternative.
What is a Transapical TAVI?
A typical TAVI will require an insertion to be made at the femoral artery. A catheter and the replacement valve will then be guided to the region where it is intended to be placed. There can still be time s when a femoral insertion is deemed too risky (such as if the patient has existing vascular issues). In this instance, a transapical TAVI may be the best solution.
A transapical TAVI involves the insertion of a catheter through the chest wall. It will then be guided to the tip of the heart or the existing aortic valve. Here are some potential advantages associated with a transapical TAVI:
- It is a viable alternative to percutaneous surgical procedures.
- Only a small chest wound will be present; enabling the patient to heal faster.
- In the majority of cases, a heart-lung machine will not be required.
Of course, patients who are hampered by poor vascular access can also be candidates for this type of TAVI. It should be noted that a trans-subclavian TAVI is similar to a transapical TAVI due to the fact that both avoid using the femoral artery as a delivery method for the catheter and new aortic valve. Those who suspect that they may be suffering from potential coronary issues should always make it a point to speak with a cardiologist to learn if a transapical TAVI is a treatment option.