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Updated: Apr 27, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Transthoracic access for transcatheter aortic valve replacement: technique using the Edwards Sapien Retroflex
Isaac George1, Jacob Kriegel1, Tamim Nazif2
1Division of Cardiothoracic Surgery, Columbia College of Physicians and Surgeons, New York Presbyterian Hospital, New York, New York.
Abstract:
We describe our experience using the Edwards Sapien transfemoral Retroflex 3 catheter delivery system for transcatheter aortic valve replacement through the transapical and transaortic approaches. Transthoracic transcatheter valve replacement by the transapical and transaortic approaches can be safely and effectively performed with the Retroflex 3 delivery catheter, which affords several advantages over other available delivery devices.
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