Non-femoral TAVR: Time to stratify alternative vascular approaches.
Roxana MehranRoxana MehranPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Although transfemoral transcatheter aortic valve replacement (TAVR) is the gold standard, this approach is not be feasible in approximately 15% of the patients. Trans-carotid TAVR may be less invasive than transthoracic routes for TAVR, and has been associated with encouraging results. Further prospective studies comparing alternative access routes in patients with whom transfemoral TAVR is not feasible are warranted, to propose an evidence-based algorithm guiding the physician decision.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve
- transcatheter aortic valve implantation
- aortic valve replacement
- ejection fraction
- end stage renal disease
- chronic kidney disease
- emergency department
- newly diagnosed
- peritoneal dialysis
- primary care
- machine learning
- prognostic factors
- coronary artery disease
- atrial fibrillation
- neural network