Vascular Access in Transcatheter Aortic Valve Implantation

The positive early experiences with TAVI however, revealed

that vascular access remains a hindrance to broader application and success of the procedure.

This article will review the most common vascular routes used to deliver transcatheter aortic valves, and describe a new technique via the right axillary/subclavian artery approach.

PMID: 21879288

Posted in Invasive Imaging and tagged .

One Comment

  1. Assessment of vascular access is, beside evaluation of the aortic root, one of the major reasons for advanced imaging in the context of transcatheter valvular procedures.
    In the same series, see also:

    1. Changing demographics of valvular heart disease and impact on surgical and transcatheter valve therapies.
    Vahanian A, Iung B, Himbert D, Nataf P.
    Int J Cardiovasc Imaging.
    PMID: 21347599

    2. Transcatheter treatment approaches for aortic valve disease.
    Willson A, Webb J.
    Int J Cardiovasc Imaging.
    PMID: 21347600

    3. Clinical trial experience with transcatheter aortic valve insertion.
    Helton TJ, Kapadia SR, Tuzcu EM.
    Int J Cardiovasc Imaging.
    PMID: 21337022

    4. Clinical trial experience with the MitraClip catheter based mitral valve repair system.
    Maisano F, Godino C, Giacomini A, Denti P, Arendar I, Buzzatti N, Canna GL, Alfieri O, Colombo A.
    Int J Cardiovasc Imaging.
    PMID: 21503702

    5. Transcatheter approaches to non-valvar structural heart disease.
    Kenny D, Hijazi ZM.
    Int J Cardiovasc Imaging.
    PMID: 21331612

    6. Transcatheter valve repair/implantation
    Siegel RJ, Luo H, Biner S.
    Int J Cardiovasc Imaging.
    PMID: 21344247

    7. Role of computed tomography imaging for transcatheter valvular repair/insertion.
    Ewe SH, Klautz RJ, Schalij MJ, Delgado V.
    Int J Cardiovasc Imaging.
    PMID: 21359516

    8. Potential Role of Three-Dimensional Rotational Angiography and C-Arm CT for Valvular Repair and Implantation
    Schwartz JG, Neubauer AM, Fagan TE, Noordhoek NJ, Grass M, Carroll JD
    Int J Cardiovasc Imaging. 2011; 27(1):543-546
    PMID: 2139461

    9. Comparative imaging of cardiac structures and function for the optimization of transcatheter approaches for valvular and structural heart disease.
    Bateman MG, Iaizzo PA.
    Int J Cardiovasc Imaging.
    PMID: 21541775

    10. Transcatheter repair of valvular heart disease and periprocedural imaging.
    Schoenhagen P, Bax J.
    Int J Cardiovasc Imaging.
    PMID: 21359515

    11. Aortic root dimension changes during systole and diastole: evaluation with ECG-gated multidetector row computed tomography.
    de Heer LM, Budde RP, Mali WP, de Vos AM, van Herwerden LA, Kluin J.
    Int J Cardiovasc Imaging.
    PMID: 21359833

    12. MR fluoroscopy in vascular and cardiac interventions (review).
    Saeed M, Hetts SW, English J, Wilson M.
    Int J Cardiovasc Imaging.
    PMID: 21359519

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