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Bleiziffer S et al. – The patient and access site selection process, with the transfemoral technique considered the access site of first choice, results in comparable survival and morbidity for either transfemoral or transapical transcatheter aortic valve implantation. Both techniques are associated with certain access site–specific complications that require highly qualified management. The neurologic risk profile of the patients should be included in the decision–making process before transcatheter aortic valve implantation, inasmuch as neurologic events may be reduced with the transapical access.

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