Key result
Transcaval access to the abdominal aorta represents a potentially useful alternative route for vascular surgeons in selected cases, including the treatment of endoleaks after endovascular repair.
Why the study?
The authors reviewed the literature on the occasion of the first transcaval approach for TAVI in their hospital to focus on indications and technical aspects of this alternative access route.
Transcaval access to the abdominal aorta serves as a useful alternative access route for selected cases in structural and vascular interventions, including TAVI and endoleak management.
May inform access choices in select cases; leaves open need for prospective validation before wider use.
We performed a review of the literature (until August 01, 2019) on the occasion of the first transcaval approach for transcatheter aortic valve implantation in our hospital. This review focuses mainly on the indications of this alternative access route to the aorta. It may be useful for vascular surgeons in selected cases, such as the treatment of endoleaks after endovascular aneurysm repair and thoracic endovascular aneurysm repair. We describe historical aspects of transcaval access to the aorta, experimental studies, available case series and outcomes. Finally, we summarize the most significant technical aspects of this little-known access.
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Sánchez et al. (2020) conducted a review in Aortic disease requiring transcatheter intervention. Transcaval access to the abdominal aorta was evaluated. Transcaval access to the abdominal aorta represents a potentially useful alternative route for vascular surgeons in selected cases, including the treatment of endoleaks after endovascular repair.
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