title: Percutaneous management of vascular access in transfemoral transcatheter aortic valve implantation.
abstract: Transcatheter aortic valve implantation (TAVI) using stent-based bioprostheses has recently emerged as a promising alternative to surgical valve replacement in selected patients. The main route for TAVI is retrograde access from the femoral artery using large sheaths (16-24 F). Vascular access complications are a clinically relevant issue in TAVI procedures since they are reported to occur in up to one fourth of patients and are strongly associated with adverse outcomes. In the present paper, we review the different types of vascular access site complications associated with transfemoral TAVI. Moreover, we discuss the possible optimal management strategies with particular attention to the relevance of early diagnosis and prompt treatment using endovascular techniques.
authors.affiliation: Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Institute of Cardiology, Catholic University of the Sacred Heart, 00168 Rome, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Dato
authors.affiliation: Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Institute of Cardiology, Catholic University of the Sacred Heart, 00168 Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Burzotta
authors.affiliation: Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Institute of Cardiology, Catholic University of the Sacred Heart, 00168 Rome, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Trani
authors.affiliation: Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Institute of Cardiology, Catholic University of the Sacred Heart, 00168 Rome, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Crea
authors.affiliation: Ilaria Dato, Francesco Burzotta, Carlo Trani, Filippo Crea, Institute of Cardiology, Catholic University of the Sacred Heart, 00168 Rome, Italy.
authors.forename: Gian Paolo
authors.initials: GP
authors.lastname: Ussia
keywords: Percutaneous management; Transfemoral transcatheter aortic valve implantation; Vascular access complication