Vascular Complications in TAVR: Incidence, Clinical Impact, and Management

Transcatheter aortic valve replacement (TAVR) has replaced surgical aortic valve replacement as the new gold standard in elderly patients with severe aortic valve stenosis. However, alongside this novel approach, new complications emerged that require swift diagnosis and adequate management. Vascula...

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Autores principales:	Markus Mach, Sercan Okutucu, Tillmann Kerbel, Aref Arjomand, Sefik Gorkem Fatihoglu, Paul Werner, Paul Simon, Martin Andreas
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	transfemoral transcatheter aortic valve vascular complications TAVR Medicine R
Acceso en línea:	https://doaj.org/article/1256ba68587543f6b0443ce06e7cdf93
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spelling	oai:doaj.org-article:1256ba68587543f6b0443ce06e7cdf932021-11-11T17:39:57ZVascular Complications in TAVR: Incidence, Clinical Impact, and Management10.3390/jcm102150462077-0383https://doaj.org/article/1256ba68587543f6b0443ce06e7cdf932021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5046https://doaj.org/toc/2077-0383Transcatheter aortic valve replacement (TAVR) has replaced surgical aortic valve replacement as the new gold standard in elderly patients with severe aortic valve stenosis. However, alongside this novel approach, new complications emerged that require swift diagnosis and adequate management. Vascular access marks the first step in a TAVR procedure. There are several possible access sites available for TAVR, including the transfemoral approach as well as transaxillary/subclavian, transcarotid, transapical, and transcaval. Most cases are primarily performed through a transfemoral approach, while other access routes are mainly conducted in patients not suitable for transfemoral TAVR. As vascular access is achieved primarily by large bore sheaths, vascular complications are one of the major concerns during TAVR. With rising numbers of TAVR being performed, the focus on prevention and successful management of vascular complications will be of paramount importance to lower morbidity and mortality of the procedures. Herein, we aimed to review the most common vascular complications associated with TAVR and summarize their diagnosis, management, and prevention of vascular complications in TAVR.Markus MachSercan OkutucuTillmann KerbelAref ArjomandSefik Gorkem FatihogluPaul WernerPaul SimonMartin AndreasMDPI AGarticletransfemoraltranscatheteraortic valvevascularcomplicationsTAVRMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5046, p 5046 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	transfemoral transcatheter aortic valve vascular complications TAVR Medicine R
spellingShingle	transfemoral transcatheter aortic valve vascular complications TAVR Medicine R Markus Mach Sercan Okutucu Tillmann Kerbel Aref Arjomand Sefik Gorkem Fatihoglu Paul Werner Paul Simon Martin Andreas Vascular Complications in TAVR: Incidence, Clinical Impact, and Management
description	Transcatheter aortic valve replacement (TAVR) has replaced surgical aortic valve replacement as the new gold standard in elderly patients with severe aortic valve stenosis. However, alongside this novel approach, new complications emerged that require swift diagnosis and adequate management. Vascular access marks the first step in a TAVR procedure. There are several possible access sites available for TAVR, including the transfemoral approach as well as transaxillary/subclavian, transcarotid, transapical, and transcaval. Most cases are primarily performed through a transfemoral approach, while other access routes are mainly conducted in patients not suitable for transfemoral TAVR. As vascular access is achieved primarily by large bore sheaths, vascular complications are one of the major concerns during TAVR. With rising numbers of TAVR being performed, the focus on prevention and successful management of vascular complications will be of paramount importance to lower morbidity and mortality of the procedures. Herein, we aimed to review the most common vascular complications associated with TAVR and summarize their diagnosis, management, and prevention of vascular complications in TAVR.
format	article
author	Markus Mach Sercan Okutucu Tillmann Kerbel Aref Arjomand Sefik Gorkem Fatihoglu Paul Werner Paul Simon Martin Andreas
author_facet	Markus Mach Sercan Okutucu Tillmann Kerbel Aref Arjomand Sefik Gorkem Fatihoglu Paul Werner Paul Simon Martin Andreas
author_sort	Markus Mach
title	Vascular Complications in TAVR: Incidence, Clinical Impact, and Management
title_short	Vascular Complications in TAVR: Incidence, Clinical Impact, and Management
title_full	Vascular Complications in TAVR: Incidence, Clinical Impact, and Management
title_fullStr	Vascular Complications in TAVR: Incidence, Clinical Impact, and Management
title_full_unstemmed	Vascular Complications in TAVR: Incidence, Clinical Impact, and Management
title_sort	vascular complications in tavr: incidence, clinical impact, and management
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1256ba68587543f6b0443ce06e7cdf93
work_keys_str_mv	AT markusmach vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT sercanokutucu vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT tillmannkerbel vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT arefarjomand vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT sefikgorkemfatihoglu vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT paulwerner vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT paulsimon vascularcomplicationsintavrincidenceclinicalimpactandmanagement AT martinandreas vascularcomplicationsintavrincidenceclinicalimpactandmanagement
_version_	1718431986225250304

Vascular Complications in TAVR: Incidence, Clinical Impact, and Management

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