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Updated: Oct 6, 2025
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Single access transfemoral transcatheter aortic valve implantation for challenging iliofemoral route
Marco Russo1, Antonio G Cammardella1, Vincenzo Polizzi1
1Department of Cardiac Surgery and Heart Transplantation, San Camillo Forlanini Hospital, Rome, Italy.
Background:
Optimal access for transcatheter aortic valve implantation is still a matter of debate. A tailored approach for patient anatomy is mandatory to reduce vascular complications and improve outcomes.
Aims:
To optimize surgical technique in challenge scenario.
Material And Methods:
Here, we present a case of transfemoral transcatheter aortic valve replacement performed using single arterial access.
Results:
A 92 years old patients affected by severe aortic stenosis showed no secondary arterial access. A single access approach was performed using the aortic valve calcification and the inferior margin of the second rib as lankdmarks for valve implantation.
Discussion And Conclusions:
Alternative options for TAVR are mandatory to deal with complex cases. The described technique is a simple and reproducible approach.
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