Percutaneous puncture of an aorto-bifemoral bypass graft and successful closure with MANTA® device in transfemoral TAVR.
Martin GeyerAlexander R TammMartin OberhofferFelix KreidelHazem El BeyroutiThomas MünzelRalph Stephan von BardelebenPublished in: Echocardiography (Mount Kisco, N.Y.) (2021)
Transfemoral aortic valve replacement (TAVR) has become a standard therapeutic option for patients with symptomatic severe aortic stenosis. Special anatomies can pose distinct challenges for vascular access and later closure of the access site, for example, in preoperated patients. Here, we elucidate a case of transfemoral TAVR with vascular access by direct puncture of an aorto-bifemoral bypass graft and illustrate the feasibility of vascular closure by an anchored collagen-plug vascular closure device (Teleflex MANTA® ).
Keyphrases
- aortic stenosis
- aortic valve replacement
- ejection fraction
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- aortic valve
- left ventricular
- end stage renal disease
- ultrasound guided
- chronic kidney disease
- coronary artery disease
- newly diagnosed
- peritoneal dialysis
- early onset
- minimally invasive