{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T19:16:27Z","timestamp":1775157387582,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T00:00:00Z","timestamp":1489536000000},"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":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to evaluate safety, feasibility, and efficacy of transaxillary TAVI using a novel self\u2010expandable transcatheter heart valve (THV) via a direct percutaneous technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The analysis comprises 12 consecutive patients with severe aortic stenosis treated with the ACURATE Neo\u2122 THV (Symetis) by direct percutaneous transaxillary access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients presented with a mean age of 79.9\u2009\u00b1\u20096.2 years and high calculated surgical risk (logEuroSCORE I: 19.55\u2009\u00b1\u200915.00%; STS PROM score: 5.42\u2009\u00b1\u20093.25%). Transaxillary TAVI was performed in 11\/12 via the left and in 1\/12 via the right\u2010sided axillary artery. Device success was achieved in all patients (12\/12). Mortality rate at 30 days was 0% (0\/12). No major and one minor access site complication (1\/12) occurred. No major or life\u2010threatening access site\u2010related bleeding resulted. None of the patients suffered from postprocedural stroke\/transient ischemic attack. There was no need for a permanent pacemaker. Mean effective orifice area post implantation was 2.1\u2009\u00b1\u20090.29\u00a0cm<jats:sup>2<\/jats:sup> and mean aortic gradient 6.2\u00a0\u00b1\u00a01.5\u00a0mm\u00a0Hg. In none of the patients, greater than moderate aortic regurgitation or paravalvular leakage was detected at discharge (0\/12).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study suggests that the implantation of the second\u2010generation self\u2010expandable ACURATE Neo\u2122 via a transaxillary access is technically feasible and safe and yields excellent short\u2010term clinical results. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26986","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T12:48:44Z","timestamp":1489582124000},"page":"1167-1174","source":"Crossref","is-referenced-by-count":12,"title":["Direct percutaneous transaxillary implantation of a novel self\u2010expandable transcatheter heart valve for aortic stenosis"],"prefix":"10.1002","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2148-9303","authenticated-orcid":false,"given":"Florian","family":"Deuschl","sequence":"first","affiliation":[{"name":"Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5190-813X","authenticated-orcid":false,"given":"Niklas","family":"Schofer","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Seiffert","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"Hakmi","sequence":"additional","affiliation":[{"name":"Department for Cardiovascular Surgery University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isamu","family":"Mizote","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Department for Cardiovascular Surgery University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Schirmer","sequence":"additional","affiliation":[{"name":"Department for Cardiovascular Surgery University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Reichenspurner","sequence":"additional","affiliation":[{"name":"Department for Cardiovascular Surgery University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Blankenberg","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenard","family":"Conradi","sequence":"additional","affiliation":[{"name":"Department for Cardiovascular Surgery University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Department of General and Interventional Cardiology University Heart Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs109"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000029"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.12.013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.04.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.930453"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.04.014"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.050"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-013-0575-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.01.044"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq261"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.11.014"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.09.026"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.09.019"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.115.002408"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV11I2A40"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2014.07.019"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12182"},{"key":"e_1_2_7_19_1","first-page":"1543","article-title":"Preferential short cut or alternative route: The transaxillary access for transcatheter aortic valve implantation","author":"Schofer N","year":"2015","journal-title":"J. Thorac. Dis"},{"key":"e_1_2_7_20_1","first-page":"359","article-title":"Symetis ACURATE TAVI: Review of the technology, developments and current data with this self\u2010expanding transcatheter heart valve","volume":"63","author":"Sch\u00e4fer U","year":"2015","journal-title":"Minerva Cardioangiol"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV9SSA22"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.09.002"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.003"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3316"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26986","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.26986","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T14:06:02Z","timestamp":1695996362000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.26986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,15]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1002\/ccd.26986"],"URL":"https:\/\/doi.org\/10.1002\/ccd.26986","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,15]]}}}