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Updated: Sep 19, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
[Unilateral intermittent claudication after transfemoral TAVR procedure]
Jan Lukas Prüser1,2, Jörg Ukkat3, Martin Mühlenweg4
1Univ.-Klinik und Poliklinik f. Innere Medizin III/Schwerpunkt Angiologie, Universitätsklinikum Halle (Saale), 06120, Halle (Saale), Deutschland. janlukas.prueser@umm.de.
None:
As part of a cardiological follow-up 3 months after transcatheter aortic valve repair (TAVR), an 83-year-old women reported that the attempt to resume postoperative Nordic walking failed due to new unilateral intermittent claudication. Duplex sonography revealed a filiform stenosis at the origin of the superficial femoral artery (SFA), caused by malposition of a plug-based vascular closure device (VCD), hemodynamically consistent with Rutherford I/1. The patient's wishes and high level of suffering justified surgical revascularization. Intraoperatively, subtotal occlusion of the SFA was confirmed by wedging the intravascular anchor of a MANTA VCD in the femoral bifurcation. During the postoperative course, the patient was able to resume her Nordic walking activities without any symptoms.
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