May 1, 2011Future Cardiology
Incidence, Prognostic Value and Management of Vascular Complications With Transfemoral Transcatheter Aortic Valve Implantation
Why the study?
What are the incidence, management, and prognostic implications of access site-related vascular complications in high-risk patients undergoing transfemoral TAVI?
Population
Inoperable or high-risk patients with severe aortic stenosis undergoing transcatheter aortic valve…
Design
Review
Authors
Discussion
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Member takes
Implication
May guide TAVI vascular complication management; leaves open prospective validation of prevention strategies in high-risk patients.
Key Points
- To review the incidence, prognostic consequences, and therapeutic management of vascular access-site complications associated with transfemoral transcatheter aortic valve implantation.
- Synthesized data from recent clinical trials and large registries assessing two commercially available transcatheter bioprostheses.
- Evaluated procedural risks linked to large-bore introducer sheaths and dual arterial access in elderly patients with aortic stenosis.
- Access-site vascular complications occur frequently in transfemoral procedures, driven by large sheath dimensions and pre-existing peripheral artery disease.
- Vascular injury during valve deployment substantially diminishes procedural success rates and adversely impacts in-hospital and 30-day survival.
Structured PICO
What are the incidence, management, and prognostic implications of access site-related vascular complications in high-risk patients undergoing transfemoral TAVI?
P
Population
Inoperable or high-risk patients with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI)
I
Intervention
Transfemoral transcatheter aortic valve implantation (TAVI)
O
Outcome
Access site-related complications with transfemoral TAVI, their management and relationship with in-hospital and 30-day survivalsafety
This review highlights the mechanisms, prevention, and management of access site-related vascular complications in transfemoral TAVI to improve clinical outcomes.
Cite This Study
Saia et al. (2011) studied this question.