title: Superficial femoral artery access for transcatheter aortic valve replacement.
abstract: Different vascular accesses have been described for the delivery of a transcatheter aortic bioprosthesis. We report the use of the superficial femoral artery (SFA) as the arterial site of puncture with surgical cut-down. It may be a reasonable access alternative to the other classical routes, especially in the setting of either obese patients with elevated body mass index or in the presence of high femoral artery bifurcation. This route seems to be feasible with a low-profile risk.
authors.affiliation: Department of Cardiovascular Disease, Cardiac Surgery Units, IRCCS Centro Cardiologico Monzino, Milan, Italy marcogennari.md@gmail.com marco.gennari@ccfm.it.
authors.forename: Marco
authors.initials: M
authors.lastname: Gennari
authors.affiliation: Department of Cardiovascular Disease, Vascular Surgery Unit, IRCCS Centro Cardiologico Monzino, Milan, Italy.
authors.forename: Piero
authors.initials: P
authors.lastname: Trabattoni
authors.affiliation: Department of Cardiovascular Disease, Cardiac Surgery Units, IRCCS Centro Cardiologico Monzino, Milan, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Roberto
authors.affiliation: Department of Cardiovascular Disease, Cardiac Surgery Units, IRCCS Centro Cardiologico Monzino, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Agrifoglio
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001705:Bioprosthesis; D005263:Femoral Artery; D006801:Humans; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*
keywords: Aortic stenosis; Aortic valve replacement; TAVI; Vascular access