November 23, 2018Radiographics

Transcatheter Aortic Valve Replacement: Alternative Access beyond the Femoral Arterial Approach

View Full Paper

Ask AI

Bookmark

Why the study?

When transfemoral TAVR is limited by narrowed luminal diameters, extensive atherosclerotic disease, or severe tortuosity, alternative access routes must be considered.

Population

Patients over the age of 65 years with aortic stenosis at high risk for surgical complications who have…

Design

Review

Authors

DRDemetrios A. RaptisWashington University in St. Louis MBMichael A. BealMallinckrodt (United States)DKDavid Christian Evar KraftAarhus University

Discussion

Member takes

Implication

May aid alternative-access TAVR planning; leaves open prospective validation of imaging protocols.

Structured PICO

Population

Patients over the age of 65 years with aortic stenosis at high risk for surgical complications who have narrowed luminal diameters, extensive atherosclerotic disease, or significant tortuosity limiting the transfemoral approach.

Intervention

Alternative access routes for transcatheter aortic valve replacement (TAVR), including subclavian, transaortic, and transapical approaches.

Understanding alternative TAVR access routes allows radiologists to provide crucial preprocedure measurements and imaging guidance for patients unsuitable for transfemoral access.

Cite This Study

Raptis et al. (2018) studied this question.

synapsesocial.com/papers/6a82b78a0de57fd8eeb29000 https://doi.org/10.1148/rg.2019180059

Topics

Transcatheter aortic valve replacement TAVR in low-risk patients

View Full Paper

Ask AI

Bookmark

Transcatheter Aortic Valve Replacement: Alternative Access beyond the Femoral Arterial Approach

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Transcatheter Aortic Valve Replacement: Alternative Access beyond the Femoral Arterial Approach

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider