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Al–Attar N et al. – Management of severe symptomatic aortic stenosis is by surgical replacement of the aortic valve whenever feasible. Improvement in the perioperative management has permitted surgical intervention in high–risk patients. However, patients refused surgery can now be managed by transcatheter techniques. These have opened new horizons for patients for whom conventional surgery is contraindicated or the technical complexity of the procedure is associated with considerable operative risk. The development of transcatheter aortic valve implantation, available technology, choice of approach, and future perspectives are discussed.

Exclusive Author Commentary
Nawwar Al-Attar, 09/01/09

We review the current technology and future advances of transcatheter aortic valve implantation techniques. The different approaches are described and the choice of route is discussed.

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