Related Experiment Video
Updated: Jun 30, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Clinical Experience of Transcatheter Tricuspid Valve-In-Ring Interventions With Incomplete Rings: Transjugular and
Leo Kar Lok Lai1, Jonathan X Fang1, Hussayn Alrayes1
1Center for Structural Heart Disease, Henry Ford Hospital, Detroit, Michigan, USA.
Abstract:
•Tricuspid valve-in-ring using balloon-expandable valves appeared feasible via both transjugular and transfemoral approaches in this small single-center series.•Procedural success was higher with the transjugular approach (86%) than the transfemoral approach (60%).•No access-site complications occurred with transjugular access, whereas 1 groin complication (20%) occurred transfemorally.•Paravalvular leak rates were lower with transjugular (29%) versus transfemoral access (60%).•Paravalvular leak was most frequent with rigid Contour 3D and semirigid Carpentier-Edwards rings, and lowest with MC3 and CG Future bands.
