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Updated: Mar 2, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Vascular complications associated with transcatheter aortic valve replacement
M Rizwan Sardar1,2, Andrew M Goldsweig1, J Dawn Abbott1
11 Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Transcatheter aortic valve replacement (TAVR) is a common procedure, but vascular complications are a major concern. This review covers common TAVR vascular issues and their percutaneous management.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Surgery
Background:
- Transcatheter aortic valve replacement (TAVR) is increasingly used for patients unsuitable for traditional surgery.
- Vascular complications are a significant challenge and independent predictor of mortality in TAVR patients.
- Effective management of these complications is crucial for improving patient outcomes.
Purpose of the Study:
- To review common vascular complications associated with TAVR.
- To discuss optimal percutaneous management strategies for these complications.
- To highlight the importance of early recognition and intervention.
Main Methods:
- Literature review of currently approved TAVR devices.
- Analysis of reported vascular complications and their management.
- Focus on percutaneous techniques for complication resolution.
Main Results:
- Vascular complications remain a critical issue in TAVR procedures.
- Various percutaneous techniques exist for managing common TAVR-related vascular issues.
- Timely and appropriate management can mitigate mortality risks.
Conclusions:
- Vascular complications are a key area requiring attention in TAVR.
- Percutaneous management offers effective solutions for many TAVR vascular issues.
- Further research into optimizing TAVR vascular complication management is warranted.
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