Percutaneous aortic valve replacement (
PAVR), also known as
transcatheter aortic valve implantation (
TAVI) or
transcatheter aortic valve replacement (TAVR), is the replacement of the
aortic valve of the
heart through the blood vessels (as opposed to valve replacement by
open heart surgery). The replacement valve is delivered via one of several access methods: transfemoral (in the upper leg), transapical (through the wall of the heart), subclavian (beneath the collar bone), direct aortic (through a minimally invasive surgical incision into the aorta), and transcaval (from a temporary hole in the aorta near the belly button through a vein in the upper leg).