Pirelli L, et al. - Researchers in this study evaluated the efficacy and safety of Transinnominate (TI) transcatheter aortic valve replacement (TAVR) as an alternative access in patients with severe aortic stenosis not amenable to a transfemoral approach. Observations revealed that in high-risk patients, TI approach represented a safe, reproducible and minimally invasive hybrid technique for TAVR. They noted minimal surgical trauma and perioperative complications with rapid patient recovery in their early experience.