title: Maintaining a minimally invasive approach-vascular closure after trans-catheter aortic valve intervention.
abstract: Trans-catheter aortic valve implantation (TAVI) is now recognised as an effective way to treat patients with symptomatic aortic stenosis when open surgical repair is not feasible or considered too high risk. Retrograde trans-femoral TAVI (TF-TAVI) requires large bore vascular access (18-24F), and successful management of the access site is key to maintaining the minimally invasive nature of the procedure. This editorial reviews the current techniques available to facilitate percutaneous vascular closure and the common complications associated with vascular access.
authors.affiliation: Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK. jacockburn@hotmail.com
authors.forename: James
authors.initials: J
authors.lastname: Cockburn
authors.forename: Adam
authors.initials: A
authors.lastname: de Belder
authors.forename: Mike
authors.initials: M
authors.lastname: Lewis
authors.forename: Uday
authors.initials: U
authors.lastname: Trivedi
authors.forename: David
authors.initials: D
authors.lastname: Hildick-Smith
mesh_terms: D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods; D006350:Heart Valve Prosthesis; D006801:Humans; D062666:Vascular Access Devices