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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
Complex and High-Risk Intervention via Upper Extremity Access
Taishi Hirai1, Toru Tanigaki2, Lorenzo Azzalini3
1Department of Cardiology, Gifu Heart Center, 4-14-4, Yabuta, Minami, Gifu, 500-8384, Japan.
Insights
This review examines complex cardiac interventions, focusing on patient comorbidities, anatomy, and cardiac function. It discusses the benefits and considerations of using the less invasive transradial access approach for these procedures.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- Complex cardiac interventions involve intricate patient anatomies and physiological conditions.
- Patient comorbidities, cardiac function, and specific anatomy define intervention complexity.
Purpose of the Study:
- To review current evidence on complex cardiac interventions.
- To discuss key considerations for utilizing transradial access in complex cases.
Main Methods:
- Literature review of existing studies on complex cardiac interventions.
- Analysis of data pertaining to transradial access in complex patient populations.
Main Results:
- Evidence suggests transradial access is feasible and potentially beneficial in select complex interventions.
- Key considerations include patient selection, procedural technique, and management of potential complications.
Conclusions:
- Transradial access represents a viable, less invasive option for complex cardiac interventions.
- Careful patient selection and tailored procedural approaches are crucial for successful outcomes.
Abstract:
Complex intervention is defined by the patient's comorbidities, anatomy as well as cardiac function. The goal of this article is to review the current evidence surrounding complex interventions and discuss the key considerations when using less invasive approach with transradial access.
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