Transcatheter aortic valve implantation via the superficial femoral artery: An underused access route?
Smriti SarafJames CockburnOsama AlsanjariDavid Hildick-SmithPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2018)
Common femoral arterial (CFA) access is the most commonly used access route for transcatheter aortic valve implantation (TAVI). In majority of cases, it is easily accessible percutaneously without requiring surgical cut down. However, in patients with high body mass index (BMI) or central obesity, it can be more than 8-10 cm below the skin making the procedure more technically demanding and satisfactory hemostasis more difficult to achieve. The superficial femoral artery (SFA) lies only a few centimeters distal to the CFA with little compromise on vessel caliber, yet can allow more suitable access in certain patients with a high BMI. We describe three cases in which SFA access was successfully used as the primary delivery route for TAVI.
Keyphrases
- transcatheter aortic valve implantation
- aortic valve
- body mass index
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve replacement
- weight gain
- type diabetes
- ejection fraction
- metabolic syndrome
- insulin resistance
- physical activity
- weight loss
- minimally invasive
- soft tissue
- adipose tissue
- skeletal muscle
- heart failure
- atrial fibrillation
- wound healing
- high fat diet induced