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Updated: Jan 17, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Upper Extremity Vascular Access
Avtandil M Babunashvili1, Olivier Francois Bertrand2, Safia Ouarrak2
1Moscow State Medical Academy, Faculty of Interventional Cardiology and Angiology, Russian Federation, 8 Trubetskaya Street, Moscow, 119991, Russian.
Abstract:
Vascular arterial access is one of the key steps of percutaneous interventions. Both upper and lower extremity arteries can be used for percutaneous entry point, but choice of the arterial access depends on the interventional procedure type, knowing arterial anatomy, patient's clinical conditions. Proper choice of the vascular access plays crucial role in planning, safety, and effectiveness of interventional procedures. Upper extremity vascular access becomes dominant in interventional cardiology practice, and therefore, interventionalists should be familiar with technical details how to successfully obtain arterial access, avoid complications, and manage of appropriate post-procedure hemostasis.
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