Strategies for Facilitating Totally Percutaneous Transfemoral TAVR Procedures.
Amnon EitanHussein SlimanAvinoam ShiranRonen JaffePublished in: Journal of clinical medicine (2022)
Transcatheter aortic valve replacement (TAVR) has transformed the treatment of aortic stenosis and should ideally be performed as a totally percutaneous procedure via the transfemoral (TF) approach. Peripheral vascular disease may impede valve delivery, and vascular access site complications are associated with adverse clinical outcome and increased mortality. We review strategies aimed to facilitate TF valve delivery in patients with hostile vascular anatomy and achieve percutaneous management of vascular complications.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve
- aortic valve replacement
- transcatheter aortic valve implantation
- minimally invasive
- ultrasound guided
- risk factors
- ejection fraction
- radiofrequency ablation
- left ventricular
- emergency department
- mitral valve
- cardiovascular events
- coronary artery disease
- cardiovascular disease
- type diabetes
- atrial fibrillation