Different vascular accesses have been described for the delivery of a transcatheter aortic bioprosthesis. The Authors report the use of the superficial femoral artery (SFA) as the arterial site of puncture with surgical cut-down.
The results show that this approach is feasible, and may be a reasonable access alternative to the other classical routes, in very selected patients with poor classical vascular accesses due to obesity or high anatomical bifurcation and at elevated risk for the transapical (TA) approach.
- Gennari M, Trabattoni P, Roberto M, Agrifoglio M. Superficial femoral artery access for transcatheter aortic valve replacement. Interact Cardiovasc Thorac Surg 2016 Sep 22 [Epub ahead of print] Go to PubMed