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Updated: Sep 5, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Tips and Tricks for Successful Trans-EVAR TAVR: Buddy up!
Priyanka Ghosh1, Amit Shah1, Daniel Sporn1
1Division of Cardiovascular Disease, Robert Packer Hospital and the Guthrie Health Services, Sayre, PA, USA; The Geisinger Commonwealth School of Medicine, Scranton, PA, USA.
Abstract:
Described is challenging trans-catheter aortic valve replacement (TAVR) procedure done via tortuous iliofemoral access with prior endovascular aneurysm repair. Detailed pre-procedural planning enabled the operators to overcome the challenges while employing the following 4 strategies: Although trans-EVAR TAVR remains somewhat unpredictable, especially these 4 strategies may simplify and reduce the inherent failure rate of such procedures.
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