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Related Experiment Video

Updated: Jan 4, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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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.

Current Cardiology Reports
|November 2, 2019
PubMed
Summary
This summary is machine-generated.

Transcaval access is a safe and effective method for large bore device implantation. A 100-patient study showed minimal complications, supporting its integration into standard practice.

Keywords:
Alternative accessTranscatheter aortic valve replacementTranscaval

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Area of Science:

  • Cardiovascular Interventions
  • Vascular Surgery

Background:

  • Large bore access is crucial for advanced cardiovascular procedures.
  • Minimally invasive techniques are continually evolving.

Purpose of the Study:

  • To review current data and techniques for transcaval access and closure.
  • To assess the feasibility and safety of transcaval access.

Main Methods:

  • Prospective, open-label study of 100 patients undergoing transcaval access.
  • Evaluation of procedural success, complications, and long-term outcomes.

Main Results:

  • Transcaval access demonstrated feasibility and translatability in 100 patients.
  • No late fistula complications were observed; one fistula remained patent at 1 year.
  • Minimal bleeding and vascular complications occurred with adequate planning.

Conclusions:

  • Transcaval access is a viable route for large bore devices.
  • It should be considered a standard option for transcatheter large bore access.
  • Adequate planning is key to minimizing complications.