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June 12, 2026International Journal of Innovative Technologies in Social ScienceOpen Access

Transaxillary aortic valve replacement provides a less invasive alternative to full sternotomy with shorter recovery times, while allowing more precise valve placement than TAVI.

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Why the study?

Does transaxillary aortic valve replacement improve clinical efficacy and reduce complications compared to classic sternotomy and TAVI in patients with aortic valve disease?

Population

Patients with aortic valve disease (stenosis and regurgitation) requiring surgical treatment

Comparison

Transaxillary access for aortic valve replacement vs Classic sternotomy and percutaneous valve…

Design

Review

Key result

Transaxillary aortic valve replacement provides a less invasive alternative to full sternotomy with shorter recovery times, while allowing more precise valve placement than TAVI.

Authors

MTMateusz TaranowiczMKMonika KowalskaKŚKatarzyna Ścibisz

Discussion

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Overview

Transaxillary AVR may shorten recovery versus sternotomy; hypothesis-generating from narrative review and requires RCTs before practice change.

Key Points

  • This paper aims to assess the viability of transaxillary access for aortic valve replacement and compare it with current treatment options.
  • Narrative review of published clinical trials and studies.
  • Evaluation of clinical efficacy and complications associated with aortic valve surgical methods.
  • Analysis of minimally invasive techniques available for aortic valve replacement.
  • Minimally invasive monitoring can manage many patients with aortic valve disease without needing major surgery.
  • Transaxillary approach offers shorter recovery times than sternotomy and thorough cleaning compared to TAVI.
  • Operator skill is crucial due to limited access and visibility in transaxillary procedures.

Structured PICO

Does transaxillary aortic valve replacement improve clinical efficacy and reduce complications compared to classic sternotomy and TAVI in patients with aortic valve disease?

P
Population
A narrative review evaluating the clinical efficacy and complications of surgical methods for aortic stenosis.
I
Intervention
Transaxillary access for aortic valve replacement (minimally invasive aortic valve replacement, MIAVR)
C
Comparator
Classic sternotomy (SAVR) and percutaneous valve implantation (TAVI)
O
Outcome
Clinical efficacy and complications

Transaxillary aortic valve replacement serves as a viable middle-ground alternative between TAVI and classic sternotomy, balancing the need for reduced invasiveness with the ability to thoroughly clean and position the valve.

Limitations

  • Requires greater operator dexterity due to limited access and visibility
  • Limited to highly specialized centers with modern equipment
  • Challenges with a learning curve
  • Not suitable when patients require additional cardiac surgical interventions

Cite This Study

Taranowicz et al. (2026) conducted a review in Aortic Valve Disease. Transaxillary Aortic Valve Replacement (MIAVR) vs. Surgical Aortic Valve Replacement (SAVR) and Transcatheter Aortic Valve Implantation (TAVI) was evaluated. Transaxillary aortic valve replacement provides a less invasive alternative to full sternotomy with shorter recovery times, while allowing more precise valve placement than TAVI.

synapsesocial.com/papers/6a2bd1056550ea4541ffe803https://doi.org/10.31435/ijitss.1(49).2026.5155
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