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Access Management for Transfemoral Transcatheter Aortic Valve Implantation

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Transcatheter Aortic Valve Implantation

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Abstract

Transfemoral aortic valve implantation (TAVI) is the most commonly adopted access for TAVI, as vascular injury and complication remain a concern that affects both procedural and clinical outcomes, so meticulous access site selection and preparation, perfect femoral stick, and early complication diagnosis and good management will markedly improve patient’s outcome.

In this chapter, we discuss planning and choice of the vascular access by evaluating the anatomical features of the femoral artery; we highlight the methods of femoral artery access either percutaneously or surgically. Good planning and following best practice for vascular access will reduce the vascular complications.

Predictors and incidence of vascular complication and how they affect the clinical outcome are also discussed; different types of vascular complication and their management are also illustrated.

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Disclosures

Dr. Burzotta discloses to have been involved in advisory board meetings or having received speaker’s fees from Medtronic, St Jude Medical, Abiomed, Biotronic. Dr. Trani discloses to have been involved in advisory board meetings or having received speaker’s fees from St Jude Medical, Abiomed, Biotronic.

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Authors and Affiliations

  1. Institute of Cardiology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

    Francesco Burzotta & Carlo Trani

  2. Cardiology Department, Tanta University, Tanta, Egypt

    Osama Shoeib

Authors
  1. Francesco Burzotta
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  2. Osama Shoeib
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  3. Carlo Trani
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Correspondence to Francesco Burzotta .

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Editors and Affiliations

  1. Interventional Cardiology Unit, Pineta Grande Hospital, Castel Volturno, Caserta, Italy

    Arturo Giordano

  2. Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy

    Giuseppe Biondi-Zoccai  & Giacomo Frati  & 

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Burzotta, F., Shoeib, O., Trani, C. (2019). Access Management for Transfemoral Transcatheter Aortic Valve Implantation. In: Giordano, A., Biondi-Zoccai, G., Frati, G. (eds) Transcatheter Aortic Valve Implantation. Springer, Cham. https://doi.org/10.1007/978-3-030-05912-5_18

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  • DOI: https://doi.org/10.1007/978-3-030-05912-5_18

  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-05912-5

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