Access Options for Transcatheter Aortic Valve Replacement in Patients with Unfavorable Aortoiliofemoral Anatomy

In the current era, 10–15 % of transcatheter aortic valve replacement (TAVR)-eligible high and prohibitive risk patients with severe symptomatic aortic stenosis are not candidates for transfemoral arterial access. Knowledge of the various alternative access options can enable TAVR teams to provide i...

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Bibliographic Details
Published in:Current cardiology reports 2016-11, Vol.18 (11), p.110-110, Article 110
Main Authors: Patel, Jayendrakumar S., Krishnaswamy, Amar, Svensson, Lars G., Tuzcu, E. Murat, Mick, Stephanie, Kapadia, Samir R.
Format: Article
Language:English
Subjects:
Aortic Valve - anatomy & histology
Aortic Valve - pathology
Aortic Valve - surgery
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - surgery
Cardiac Catheterization - methods
Cardiology
Femoral Artery - anatomy & histology
Femoral Artery - pathology
Fluoroscopy
Heart Valve Prosthesis
Humans
Medicine
Medicine & Public Health
Practice Guidelines as Topic
Quality of Life
Risk Factors
Section Editor
Topical Collection on Valvular Heart Disease
Transcatheter Aortic Valve Replacement - instrumentation
Transcatheter Aortic Valve Replacement - methods
Treatment Outcome
Valvular Heart Disease (A Wang
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Summary:In the current era, 10–15 % of transcatheter aortic valve replacement (TAVR)-eligible high and prohibitive risk patients with severe symptomatic aortic stenosis are not candidates for transfemoral arterial access. Knowledge of the various alternative access options can enable TAVR teams to provide improved quality of life and potentially life-saving treatment for a group of patients who otherwise have no viable options. In this article, we review approach to patients with unfavorable femoral arterial anatomy and provide an in-depth discussion on the various alternative routes for TAVR.
ISSN:1523-3782
1534-3170
DOI:10.1007/s11886-016-0788-8