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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Aug 26, 2014; 6(8): 836-846
Published online Aug 26, 2014. doi: 10.4330/wjc.v6.i8.836
Published online Aug 26, 2014. doi: 10.4330/wjc.v6.i8.836
Percutaneous management of vascular access in transfemoral transcatheter aortic valve implantation
Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Institute of Cardiology, Catholic University of the Sacred Heart, 00168 Rome, Italy
Gian Paolo Ussia, Department of Cardiovascular Disease, Tor Vergata University, 00133 Rome, Italy
Author contributions: Dato I, Burzotta F, Trani C, Crea F and Ussia GP contributed equally to this article.
Correspondence to: Ilaria Dato, MD, Institute of Cardiology, Catholic University of the Sacred Heart, Largo Agostino Gemelli, 8, 00168 Rome, Italy. ilariadato81@gmail.com
Telephone: +39-6-3051166 Fax: +39-6-3055535
Received: April 15, 2014
Revised: June 1, 2014
Accepted: June 18, 2014
Published online: August 26, 2014
Processing time: 155 Days and 14.4 Hours
Revised: June 1, 2014
Accepted: June 18, 2014
Published online: August 26, 2014
Processing time: 155 Days and 14.4 Hours
Core Tip
Core tip: Vascular complications are not rare in transcatheter aortic valve implantation (TAVI) by the transfemoral approach and can significantly affect the overall clinical outcome. After diagnosis, the application of simple vascular interventional techniques allows efficient complication management, thus avoiding high risk vascular surgery. We discuss the available percutaneous vascular access preparation by dedicated devices, the principal diagnostic tools for prevention and detection of vascular complications and their percutaneous management in the transfemoral TAVI setting.