Direct aortic approach for TAVI: a single centre experience

Methods Our group consisted of 35 inoperable patients presenting aortic valve disease unsuitable for transfemoral valve implantation due to extreme peripheral vessel disease. Data were prospectively collected and retrospectively analysed. Using an upper-J mini sternotomy access to the third intercostal space the ascending aorta was exposed. After placing two purse-strings on the ascending aorta at least 7 cm above annulus, the delivery system was inserted and advanced under fluoroscopy to the optimal position and the valve was deployed.