How to perform transcaval access and closure for transcatheter aortic valve implantation

Catheter Cardiovasc Interv. 2015 Dec 1;86(7):1242-54. doi: 10.1002/ccd.26141. Epub 2015 Sep 10.

Abstract

Transcaval, or caval-aortic, access is a promising approach for fully percutaneous transcatheter aortic valve implantation in patients without good conventional access options. This tutorial review provides step-by-step guidance to planning and executing the procedure, along with approaches to remedy complications.

Keywords: alternative access routes; caval-aortic access; nontransfemoral access; structural heart disease.

Publication types

  • Research Support, N.I.H., Intramural
  • Review
  • Video-Audio Media

MeSH terms

  • Angiography, Digital Subtraction
  • Aortic Valve* / physiopathology
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation
  • Cardiac Catheterization / methods*
  • Cardiac Catheters
  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / instrumentation
  • Catheterization, Peripheral / methods*
  • Heart Valve Diseases / diagnosis
  • Heart Valve Diseases / physiopathology
  • Heart Valve Diseases / therapy*
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods*
  • Hemorrhage / etiology
  • Hemorrhage / prevention & control*
  • Hemostatic Techniques* / adverse effects
  • Hemostatic Techniques* / instrumentation
  • Humans
  • Phlebography / methods
  • Punctures
  • Radiography, Interventional
  • Risk Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Access Devices
  • Vascular Closure Devices
  • Vena Cava, Inferior* / diagnostic imaging