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

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Percutaneous Transaxillary Transcatheter Aortic Valve Replacement.

Rajiv Tayal¹, Amer Hawatmeh, Mohammad Thawabi

¹Department of Cardiology, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112 USA. Rajtayalmd@gmail.com.

The Journal of Invasive Cardiology

|June 2, 2017

Summary

This summary is machine-generated.

The axillary artery offers a large-caliber alternative for vascular procedures when aortoiliac arteries are unsuitable. This vessel accommodates large sheaths and is rarely impacted by atherosclerosis.

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Area of Science:

Vascular Surgery
Interventional Cardiology
Endovascular Interventions

Background:

Aortoiliac arterial disease often complicates endovascular procedures.
Access to large-caliber vessels is crucial for device delivery.

Observation:

The axillary artery is a large-caliber vessel.
It is infrequently affected by atherosclerosis.
It can accommodate sheaths up to 18 Fr.

Findings:

The axillary artery serves as a viable alternative access site.
It is particularly useful in cases of hostile aortoiliac anatomy.
Its large lumen and low atherosclerotic burden facilitate sheath insertion.

Implications:

Expanded endovascular treatment options for complex aortoiliac disease.
Improved patient outcomes through alternative access strategies.
Reduced need for open surgical interventions in challenging cases.