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Updated: May 16, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Maintaining a minimally invasive approach-vascular closure after trans-catheter aortic valve intervention
James Cockburn1, Adam de Belder, Mike Lewis
1Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK. jacockburn@hotmail.com
Abstract:
Trans-catheter aortic valve implantation (TAVI) is now recognised as an effective way to treat patients with symptomatic aortic stenosis when open surgical repair is not feasible or considered too high risk. Retrograde trans-femoral TAVI (TF-TAVI) requires large bore vascular access (18-24F), and successful management of the access site is key to maintaining the minimally invasive nature of the procedure. This editorial reviews the current techniques available to facilitate percutaneous vascular closure and the common complications associated with vascular access.
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