Percutaneous management of vascular access in transfemoral transcatheter aortic valve implantation

Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Gian Paolo Ussia

Risultato della ricerca: Contributo in rivistaArticolo in rivista


Transcatheter aortic valve implantation (TAVI) using stent-based bioprostheses has recently emerged as a promising alternative to surgical valve replacement in selected patients. The main route for TAVI is retrograde access from the femoral artery using large sheaths (16-24 F). Vascular access complications are a clinically relevant issue in TAVI procedures since they are reported to occur in up to one fourth of patients and are strongly associated with adverse outcomes. In the present paper, we review the different types of vascular access site complications associated with transfemoral TAVI. Moreover, we discuss the possible optimal management strategies with particular attention to the relevance of early diagnosis and prompt treatment using endovascular techniques.
Lingua originaleEnglish
pagine (da-a)836-846
Numero di pagine11
RivistaWorld Journal of Cardiology
Stato di pubblicazionePubblicato - 2014


  • Percutaneous management
  • Transfemoral transcatheter aortic valve implantation
  • Vascular access complication


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