{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T20:21:33Z","timestamp":1760300493303,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transcatheter aortic valve replacement (TAVR) via transaxillary (TAx) approach with ACURATE neo valve is an off\u2010label procedure. Our aim was to gather information on ACURATE neo cases implanted via TAx approach and report major outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>The TRANSAX Study (NCT04274751) retrospectively gathered patients from nine centres in Europe and North America treated with ACURATE neo valve through TAx approach up to May\/2019. Follow up was pre\u2010specified at 1\u2010year and was obtained for all patients.<\/jats:p><jats:p>A total of 75 patients (79\u2009\u00b1\u200910\u2009years; 32% women) were included. Left axillary (72%) and conscious sedation (95.2%) were the most common setting. Risk scores were higher when right axillary artery and surgical cut\u2010down were selected. Severe complications including valve embolization, coronary obstruction, annulus rupture, and procedural mortality did not occur. Cardiac tamponade occurred in two cases (2.7%) with one requiring conversion to open surgery (1.3%). Bail\u2010out stenting and surgical vascular repair were required in 7 (9.3%) and 3 (4%) cases, respectively. The need for new permanent pacemaker was 8%. Procedural success (96%), in\u2010hospital (2.7%), and 1\u2010year mortality (8%) were comparable in all settings. Only one case (1.3%) complicated with cerebrovascular event and one (1.3%) presented moderate aortic regurgitation before discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TAx TAVR procedures with the ACURATE neo valve were presented high success rate and low in\u2010hospital and 1\u2010year mortality.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29423","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T21:50:06Z","timestamp":1607982606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Transaxillary transcatheter ACURATE neo aortic valve implantation \u2013 The TRANSAX multicenter study"],"prefix":"10.1002","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2311-4129","authenticated-orcid":false,"given":"Ignacio J.","family":"Amat\u2010Santos","sequence":"first","affiliation":[{"name":"CIBERCV Hospital Cl\u00ednico Universitario  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Santos\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"CIBERCV Hospital Cl\u00ednico Universitario  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lenard","family":"Conradi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Universit\u00e4res Herz und Gef\u00e4\u00dfzentrum  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Taramasso","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Universit\u00e4tsSpital  Z\u00fcrich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnaldo","family":"Poli","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Department ASST Ovest Milanese\u2010 Ospedale di Legnano  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Romaguera","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitari Bellvitge  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Pan","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Reina Sof\u00eda  C\u00f3rdoba Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Bagur","sequence":"additional","affiliation":[{"name":"Cardiology Division, London Health Sciences Centre, Department of Medicine Western University  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"del Valle","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Central de Asturias  Oviedo Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3438-8907","authenticated-orcid":false,"given":"Luis","family":"Nombela\u2010Franco","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Cl\u00ednico Universitario San Carlos  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver D.","family":"Bhadra","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Universit\u00e4res Herz und Gef\u00e4\u00dfzentrum  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3230-6368","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Aparisi","sequence":"additional","affiliation":[{"name":"CIBERCV Hospital Cl\u00ednico Universitario  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Redondo","sequence":"additional","affiliation":[{"name":"CIBERCV Hospital Cl\u00ednico Universitario  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hip\u00f3lito","family":"Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"CIBERCV Hospital Cl\u00ednico Universitario  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itziar","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"CIBERCV Hospital Cl\u00ednico Universitario  Valladolid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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