Premium
Percutaneous access versus surgical cut down for TAVR: Where do we go from here?
Author(s) -
Ates Ismail,
Cilingiroglu Mehmet
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27653
Subject(s) - medicine , percutaneous , stenosis , surgery , valve replacement , stroke (engine) , hemostasis , aortic valve stenosis , cardiology , mechanical engineering , engineering
Key Points Transcatheter aortic valve replacement is now the standard of care for severe symptomatic aortic stenosis patients who are at high‐surgical risk. Percutaneous approach without a surgical cut down has been increasingly adapted by some centers in USA. Percutaneous approach seems to be associated with shorter hospital stay, similar short and late vascular complications, less disabling stroke, similar mortality as well as significantly less hospital cost. However, this technique also requires operators to be able to manage any vascular complications using advanced endovascular interventions to achieve complete hemostasis.