Alternative Peripheral TAVI Accesses

The APTA (Alternative Peripheral TAVI Accesses) Registry.

The APTA (Alternative Peripheral TAVI Accesses) registry is an observational multi-center, retrospective and prospective study, including high and medium - risk patients with aortic stenosis (AS) contraindicates for trans-femoral TAVI, treated with TAVI thought to peripheral accesses. Upper Silesian Medical Center, Katowice and the other hospitals will be involved in the study.

Consecutive patients who underwent TAVI with peripheral alternatives accesses between September 2017 and February 2025 will be enrolled for the retrospective registry, while consecutive patients from February 2025 will be enrolled for the prospective registry. Baseline clinical, angiographic, and echocardiographic variables, together with procedural and follow-up outcomes data will be recorded in a dedicated database.

Inclusion Criteria:

• Males or females qualified by the "heart team" for TAVI procedure, without the possibility of using femoral access.
• Possibility of TAVI procedure with peripheral access after multi-slice computed tomography analysis.

Exclusion Criteria:

• No significant aortic stenosis
• Cancer with a short expected survival period
• No qualifications for TAVI