• Semin Cardiothorac Vasc Anesth · Mar 2015

    Review

    Transcatheter aortic valve replacement: from the femoral artery to the left ventricular apex--the spectrum to access.

    • Robert J Feezor, Gregory M Janelle, and Charles T Klodell.
    • University of Florida, Gainesville, FL, USA.
    • Semin Cardiothorac Vasc Anesth. 2015 Mar 1; 19 (1): 29-37.

    AbstractThe role of transcatheter aortic valve replacement (TAVR) continues to evolve and expand at a rapid pace. The advanced age and frailty of many TAVR candidates often presents complex vascular access challenges when contemplating the exact route of valve delivery. As the indications and approved routes of delivery have evolved, so have the direct open vascular and percutaneous techniques paramount to success. We review the spectrum of access options that may be available for consideration during TAVR procedures and highlight the "pearls and pitfalls" of each technique. We additionally highlight reasons a technique may be preferred for a specific patient subset, as well as the concerns addressed by the anesthesiologist in approaching TAVR. © The Author(s) 2014.

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