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Published on: May 26, 2023
Transcaval Access for Large Bore Devices
Marvin H Eng1, Pedro Villablanca2, Tiberio Frisoli2
1Center for Structural Heart Disease, Structural Heart Disease Fellowship Director, Director of Research for the Center for Structural Heart Disease, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USA. Meng1@hfhs.org.
Purpose Of Review:
Examine the latest data and techniques regarding transcaval access and closure.
Recent Findings:
Transcaval access was proven to be a feasible and a translatable skill in a 100 patient open-label prospective study. No late complications from fistulas occurred and of all patients alive at 1 year, one fistula remained open. Transcaval is a viable access route for large bore devices. With adequate planning, bleeding and vascular complications are minimal. It should be integrated into the rubric of transcatheter large bore access.
