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Related Experiment Video

Updated: May 13, 2025

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

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

Published on: March 26, 2018

SCAI Expert Consensus Statement on Alternative Access for Transcatheter Aortic Valve Replacement.

Matthew Sherwood¹, Keith B Allen², Thom G Dahle³

¹Inova Heart and Vascular Institute, Fairfax, Virginia.

Journal of the Society for Cardiovascular Angiography & Interventions

|April 15, 2025

Summary

This summary is machine-generated.

Transcatheter aortic valve replacement (TAVR) offers alternative access routes like transaxillary, transcarotid, and transcaval for patients unsuitable for transfemoral approaches. This guide details case selection, techniques, and outcomes for these TAVR options.

Keywords:

alternative access transcarotid transcatheter aortic valve replacement transcaval vascular access

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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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Published on: June 3, 2018

Area of Science:

Cardiovascular Medicine
Interventional Cardiology
Surgical Innovation

Background:

Transcatheter aortic valve replacement (TAVR) is standard for symptomatic aortic stenosis.
Transfemoral access is preferred but not always feasible.
Alternative access routes are crucial for specific patient populations.

Purpose of the Study:

To review case selection for alternative access TAVR.
To detail technical considerations for transaxillary, transcarotid, and transcaval TAVR.
To summarize outcomes and advancements in alternative access TAVR.

Main Methods:

Expert consensus review of existing literature and clinical experience.
Analysis of patient selection criteria for non-femoral TAVR.
Evaluation of procedural techniques and outcomes for alternative access TAVR.

Main Results:

Alternative access routes (transaxillary, transcarotid, transcaval) are viable for select TAVR patients.
Careful case selection and technical expertise are key to successful outcomes.
Advancements in devices and imaging enhance safety and efficacy.

Conclusions:

Alternative access TAVR provides essential treatment options for patients with challenging anatomy.
This consensus provides best practices for heart teams performing alternative access TAVR.
Optimizing patient selection and technique is vital for maximizing TAVR benefits.