title: How to perform transcaval access and closure for transcatheter aortic valve implantation.
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.
authors.affiliation: Cardiovascular and Pulmonary Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Lederman
authors.affiliation: Structural Heart and Valve Center, Emory University Hospital, Atlanta, Georgia.
authors.forename: Vasilis C
authors.initials: VC
authors.lastname: Babaliaros
authors.affiliation: Division of Cardiology, Henry Ford Health System, Institute for Structural Heart Disease, Detroit, Michigan.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Greenbaum
mesh_terms: D015901:Angiography, Digital Subtraction; D001021:Aortic Valve / Q000503:physiopathology; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D062906:Cardiac Catheters; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D010690:Phlebography / Q000379:methods; D011677:Punctures; D015641:Radiography, Interventional; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D062666:Vascular Access Devices; D065506:Vascular Closure Devices; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
keywords: alternative access routes; caval-aortic access; nontransfemoral access; structural heart disease