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Related Experiment Video

Updated: Jun 12, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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

This summary is machine-generated.

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.

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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

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Published on: March 26, 2018

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Last Updated: Jun 12, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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Published on: August 8, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

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.