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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
Transcatheter aortic valve replacement-state of the art and a glimpse to the future: 'the Tailored Approach'
Francesco Bedogni1, Alessandro Frigiola1, Marco Ranucci1
1Coronary Revascularisation Unit, IRCCS Policlinico S. Donato, S. Donato Milanese, piazza E. Malan, Milan, Italy.
Abstract:
Transcatheter aortic valve replacement determined a paradigm shift in the treatment of high-risk patients with severe symptomatic aortic valve stenosis. Notwithstanding the impressive results of the first-generation prostheses, a fast-paced technological evolution is taking place to overcome their limitations, in particular the vascular access damage and the paravalvular leak. Nowadays, with the availability of several different devices, the expert operator can select the right prosthesis for the specific anatomical and clinical situation. As 'One does not fit all', the 'Tailored TAVR Approach' we describe will conceivably become the future of this therapy.
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