Related Experiment Video
Updated: Jun 12, 2026
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Access platform techniques for transcatheter aortic valve replacement
Jacques Kpodonu1, Aidan A Raney
1Hoag Heart Valve Center, Hoag Presbyterian Memorial Hospital, One Hoag drive, Newport Beach, California 96663, USA. jkpodonu@yahoo.com
Journal of Cardiac Surgery
|May 22, 2010
Summary
Securing a reliable access route is crucial for transcatheter aortic valve replacement (TAVR). This review details alternative access techniques for patients unsuitable for the standard femoral approach, improving TAVR outcomes.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Successful transcatheter aortic valve implantation (TAVI) hinges on establishing a suitable access route.
- Peripheral vascular disease limits femoral access in many high-risk patients undergoing TAVI.
- Access-related complications significantly increase morbidity and mortality in TAVI patients.
Purpose of the Study:
- To review and highlight diverse access site techniques for TAVI.
- To provide guidance on troubleshooting for alternative TAVI access routes.
- To inform cardiac surgeons performing TAVI about available options.
Main Methods:
- Comprehensive literature review of percutaneous, hybrid, and surgical access techniques for TAVI.
- Analysis of access site selection criteria and potential complications.
- Discussion of device implantation strategies related to different access routes.
Main Results:
- Multiple alternative access strategies exist beyond the standard transfemoral approach.
- Percutaneous, hybrid, and surgical techniques offer viable options for TAVI access.
- Understanding these techniques is essential for managing complex patient anatomies.
Conclusions:
- A broad knowledge of various access techniques is vital for TAVI success.
- Alternative access sites mitigate risks associated with femoral artery limitations.
- This review provides a platform for understanding diverse TAVI access options.
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...