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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Aortic Regurgitation III: Medical Management01:25

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Heart Failure VI: Adjunct Therapies01:22

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Related Experiment Video

Updated: May 4, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Access Options for Transcatheter Aortic Valve Replacement.

Jeffrey Chidester1, Teodora Donisan2,3, Parth V Desai4

  • 1Division of Cardiovascular Medicine, University of Virginia, Charlottesville, VA 22903, USA.

Journal of Clinical Medicine
|March 17, 2025
PubMed
Summary
This summary is machine-generated.

Transcatheter aortic valve replacement (TAVR) offers an alternative to surgery for aortic stenosis. This review details transfemoral access and explores alternative routes like transcaval access for safe valve implantation.

Keywords:
arterial accesstransaortictransapicaltransaxillarytranscarotidtranscatheter aortic valve replacementtranscavaltransfemoral

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Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Transcatheter aortic valve replacement (TAVR) has become a cornerstone in managing aortic stenosis since its introduction in 2002.
  • Successful TAVR relies on secure access to the aortic annulus for valve prosthesis implantation.

Purpose of the Study:

  • To review the evolution and current practices of arterial access for TAVR.
  • To provide a comprehensive overview of transfemoral (TF) access, including planning, closure, and complications.
  • To detail alternative TAVR access routes, emphasizing transcaval (TCv) access, its indications, techniques, and outcomes.

Main Methods:

  • Review of the development and current status of TAVR access techniques.
  • Detailed discussion of transfemoral (TF) arterial access, including commercial products and procedural aspects.
  • Description and analysis of alternative access routes, with a focus on transcaval (TCv) access.

Main Results:

  • Transfemoral (TF) arterial access remains the primary route for TAVR, but is not universally applicable.
  • Alternate access routes have been developed to address limitations of TF access.
  • Transcaval (TCv) access represents a newer alternative with specific indications and technical considerations.

Conclusions:

  • Safe and effective access is critical for the expanding use of TAVR.
  • Understanding both primary transfemoral and alternative access routes, including transcaval access, is essential for optimal patient management.
  • Continued development and knowledge of TAVR access techniques are paramount as the procedure's indications and availability grow.