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Percutaneous puncture of an aorto‐bifemoral bypass graft and successful closure with MANTA ® device in transfemoral TAVR
Author(s) -
Geyer Martin,
Tamm Alexander R.,
Oberhoffer Martin,
Kreidel Felix,
El Beyrouti Hazem,
Münzel Thomas,
von Bardeleben Ralph Stephan
Publication year - 2021
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.15016
Subject(s) - medicine , percutaneous , stenosis , vascular closure device , vascular access , closure (psychology) , valve replacement , surgery , cardiology , aortic valve , hemodialysis , market economy , economics
Transfemoral aortic valve replacement (TAVR) has become a standard therapeutic option for patients with symptomatic severe aortic stenosis. Special anatomies can pose distinct challenges for vascular access and later closure of the access site, for example, in preoperated patients. Here, we elucidate a case of transfemoral TAVR with vascular access by direct puncture of an aorto‐bifemoral bypass graft and illustrate the feasibility of vascular closure by an anchored collagen‐plug vascular closure device (Teleflex MANTA ® ).