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.
© 2015 Wiley Periodicals, Inc.
Publication types
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Research Support, N.I.H., Intramural
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Review
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Video-Audio Media
MeSH terms
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Angiography, Digital Subtraction
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Aortic Valve* / physiopathology
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Cardiac Catheterization / adverse effects
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Cardiac Catheterization / instrumentation
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Cardiac Catheterization / methods*
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Cardiac Catheters
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Catheterization, Peripheral / adverse effects
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Catheterization, Peripheral / instrumentation
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Catheterization, Peripheral / methods*
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Heart Valve Diseases / diagnosis
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Heart Valve Diseases / physiopathology
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Heart Valve Diseases / therapy*
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Heart Valve Prosthesis
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Heart Valve Prosthesis Implantation / adverse effects
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Heart Valve Prosthesis Implantation / instrumentation
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Heart Valve Prosthesis Implantation / methods*
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Hemorrhage / etiology
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Hemorrhage / prevention & control*
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Hemostatic Techniques* / adverse effects
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Hemostatic Techniques* / instrumentation
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Humans
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Phlebography / methods
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Punctures
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Radiography, Interventional
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Risk Factors
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular Access Devices
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Vascular Closure Devices
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Vena Cava, Inferior* / diagnostic imaging