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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Upper extremity access options for complex endovascular aortic interventions.

Kedar S Lavingia1, Anahita Dua1, Jordan R Stern2

  • 1Stanford University School of Medicine, Stanford, CA, USA.

The Journal of Cardiovascular Surgery
|January 13, 2018
PubMed
Summary
This summary is machine-generated.

Upper extremity access, including brachial, axillary, and radial arteries, offers minimally invasive options for complex aortic aneurysm repair. Mastering these techniques provides complementary solutions for endovascular interventions.

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aortic Aneurysm Repair

Background:

  • Endovascular therapy advances enable minimally invasive treatment of complex aortic pathologies.
  • Upper extremity access is crucial for specific procedures like chimney graft placement.

Purpose of the Study:

  • To detail upper extremity access options for complex aortic aneurysm repair.
  • To compare the relative advantages of brachial, axillary, and radial access.

Main Methods:

  • Review of endovascular techniques for aortic aneurysm repair.
  • Description of percutaneous and open approaches for brachial, axillary, and radial artery access.

Main Results:

  • Brachial artery access is traditional, safe, and effective for most cases.
  • Axillary and radial access offer valuable alternatives in specific complex aortic interventions.

Conclusions:

  • Facility with brachial, axillary, and radial access techniques is desirable for complex aortic repair.
  • These upper extremity access options are complementary, enhancing endovascular treatment strategies.