Search

Minimalist approaches have evolved for TAVR over the last years with impact on in‐hospital stay and patient safety. As part of this concept, transradial secondary arterial access is capable of reducing vascular and bleeding complications. Yet, steering of the marker pigtail catheter in the descending aorta might by fluoroscopic imaging sometimes be challenging. In our manuscript, we present a very simple "piggyback" technique, simplifying management of transradial secondary access in transfemoral TAVR. [ABSTRACT FROM AUTHOR]

Transfemoral aortic valve replacement (TAVR) has become a standard therapeutic option for patients with symptomatic severe aortic stenosis. Special anatomies can pose distinct challenges for vascular access and later closure of the access site, for example, in preoperated patients. Here, we elucidate a case of transfemoral TAVR with vascular access by direct puncture of an aorto‐bifemoral bypass graft and illustrate the feasibility of vascular closure by an anchored collagen‐plug vascular closure device (Teleflex MANTA®). [ABSTRACT FROM AUTHOR]