Management of Large-Bore Access Complications in the Era of Transcatheter Aortic Valve Replacement

Transcatheter aortic valve replacement (TAVR) has become a commonplace procedure for high-risk patient with aortic stenosis. A meta-analysis of 10,822 patients showed the rate of major vascular complications with second-generation closure devices to be 4.5%. Percutaneous approaches to arterial repairs demonstrate shorter length of stay and higher rate of direct to home discharge than with open approaches and equivalent outcomes at long-term follow-up. Our goal was to show that our vascular access strategy can decrease open repairs and improve patient outcomes.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2019 Eastern Vascular Society Annual Meeting Source Type: research