Cutting down on the cutdown: Time to remove the training wheels for transfemoral access for TAVR.
Percutaneous transfemoral access is replacing cutdowns, even in the absence of a high level evidence base The evolution of smaller profile TAVR sheaths will make cutdowns largely obsolete Patient comfort, early ambulation, and shorter length of stay, along with improved methodologies will continue to drive the move to percutaneous access and closure for TAVR.
Division of Cardiovascular Disease and Hypertension, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Zoltan G
ZG
Turi
D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male; D015607:Stents