{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:23:18Z","timestamp":1790371398572,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,5,22]],"date-time":"2015-05-22T00:00:00Z","timestamp":1432252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the outcomes of trans\u2010subclavian (TS) and transapical (TA) access for transcatheter aortic valve implantation (TAVI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>A considerable proportion of patients undergoing TAVI are not eligible for transfemoral approach. To date, there are few data to guide the choice between alternative vascular access routes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 874 consecutive patients who underwent TAVI, 202 procedures were performed through TA (<jats:italic>n =<\/jats:italic> 142, 70.3%) or TS (<jats:italic>n =<\/jats:italic> 60, 29.7%) access. Medtronic Corevalve (CV, Medtronic, Minneapolis, MN) was implanted in 17.3% of the patients, the Edwards\u2010Sapien (ES, Edwards Lifesciences Inc., Irvine, CA) in 81.2% and other prostheses in 0.1%. In\u2010hospital and long\u2010term outcome were assessed using the Valve Academic Research Consortium (VARC)\u20102 definitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age was 82\u2009\u00b1\u20096 years, STS score 9.3\u2009\u00b1\u20097.9%. The 2 groups showed a relevant imbalance in baseline characteristics. In hospital mortality was 6.4% (1.7% TS vs. 8.4% TA, <jats:italic>P =<\/jats:italic> 0.06), stroke 2.0%, acute myocardial infarction 1.0%, acute kidney injury 39.4%, sepsis 4.0% with no significant differences between groups, while bleeding was more frequent in TA patients (53.5% vs. 11.7% TS, <jats:italic>P &lt;<\/jats:italic> 0.001). One\u2010 and 2\u2010year survival was 85.2% and 73.2% in TS patients, and 83.9% and 74.9% in TA patients (<jats:italic>P =<\/jats:italic> ns for both). Access site was not an independent predictor of mortality at multivariable analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transapical compared with trans\u2010subclavian access for TAVI was associated with a nonsignificant trend to increased periprocedural events. However, 1\u2010 and 2\u2010year survival appears similar. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26012","type":"journal-article","created":{"date-parts":[[2015,5,22]],"date-time":"2015-05-22T12:55:08Z","timestamp":1432299308000},"page":"332-338","source":"Crossref","is-referenced-by-count":28,"title":["Trans\u2010subclavian versus transapical access for transcatheter aortic valve implantation: A multicenter study"],"prefix":"10.1002","volume":"87","author":[{"given":"Cristina","family":"Ciuca","sequence":"first","affiliation":[{"name":"Cardiovascular Department Institute of Cardiology, University of Bologna, Policlinico S, Orsola\u2010Malpighi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Tarantini","sequence":"additional","affiliation":[{"name":"Department of Cardiac Thoracic and Vascular Sciences, University of Padua Medical School Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azeem","family":"Latib","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit, EMO\u2010GVM Centro Cuore Columbus Milan Italy"},{"name":"Interventional Cardiology Unit, San Raffaele Scientific Institute Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Gasparetto","sequence":"additional","affiliation":[{"name":"Department of Cardiac Thoracic and Vascular Sciences, University of Padua Medical School Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Savini","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery University of Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Di Eusanio","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery University of Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Napodano","sequence":"additional","affiliation":[{"name":"Department of Cardiac Thoracic and Vascular Sciences, University of Padua Medical School Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Maisano","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery San Raffaele University Hospital Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino","family":"Gerosa","sequence":"additional","affiliation":[{"name":"Department of Cardiac Thoracic and Vascular Sciences, University of Padua Medical School Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Sticchi","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit, EMO\u2010GVM Centro Cuore Columbus Milan Italy"},{"name":"Interventional Cardiology Unit, San Raffaele Scientific Institute Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Marzocchi","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Institute of Cardiology, University of Bologna, Policlinico S, Orsola\u2010Malpighi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ottavio","family":"Alfieri","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery San Raffaele University Hospital Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Colombo","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit, EMO\u2010GVM Centro Cuore Columbus Milan Italy"},{"name":"Interventional Cardiology Unit, San Raffaele Scientific Institute Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Saia","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Institute of Cardiology, University of Bologna, Policlinico S, Orsola\u2010Malpighi Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs109"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1114705"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12084"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1200384"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.09.088"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.04.014"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"S33","DOI":"10.4244\/EIJV9SSA7","article-title":"Subclavian TAVI: More than an alternative access route","volume":"9","author":"Petronio AS","year":"2012","journal-title":"EuroIntervention"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV9SSA6"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.09.002"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-014-0698-y"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I1A20"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.08.960"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.03.099"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-305385"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24597"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2014.07.023"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-012-0842-3"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV7I6A115"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26012","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.26012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T20:47:52Z","timestamp":1696625272000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.26012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,22]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1002\/ccd.26012"],"URL":"https:\/\/doi.org\/10.1002\/ccd.26012","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,22]]}}}