Alternative Access for Mechanical Circulatory Support.
Interv Cardiol Clin
; 10(2): 257-268, 2021 04.
Article
en En
| MEDLINE
| ID: mdl-33745674
ABSTRACT
Femoral arterial access is the default strategy for large-bore interventional procedures, including temporary mechanical circulatory support implantation and structural heart therapies, based on superior outcomes and operator ease. In addition to patient size and comorbidities, vessel tortuosity, significant calcification, and diminutive vessel caliber all may make iliofemoral access prohibitively high risk or impossible. Given the increase of large-bore transcatheter procedures, bleeding avoidance strategies are essential and thus novel mechanisms for large-bore access have evolved. This article highlights the advantages, limitations, and practical approaches to the 2 most common percutaneous large-bore alternative access strategies transaxillary and transcaval access.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Corazón Auxiliar
/
Reemplazo de la Válvula Aórtica Transcatéter
Límite:
Humans
Idioma:
En
Revista:
Interv Cardiol Clin
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos