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http://hdl.handle.net/2445/193121
Title: | Vascular access approach for structural heart procedures |
Author: | Freixa, Xavier Romaguera, Rafael Botas, Javier Trillo, Ramiro Martín Moreiras, Javier Jurado Román, Alfonso |
Keywords: | Malalties coronàries Cirurgia vascular Coronary diseases Vascular surgery |
Issue Date: | 11-Nov-2022 |
Publisher: | Publicidad Permanyer, SLU |
Abstract: | Vascular access is an essential part of all interventional procedures whether coronary or structural. Over the last 15 to 20 years, in coronary interventions, traditional femoral access has been mostly replaced by the radial approach. Nonetheless, the femoral approach through both artery and vein is still the main approach for structural heart procedures. Over the last few years, femoral access has evolved from a puncture guided by anatomical references to more accurate ultrasound-guided approaches. The relatively recent introduction of interventions such as transcatheter aortic valve replacement has conditioned the use of large introducers and ultimately the need for specific hemostatic systems, above all, percutaneous closure devices. This manuscript reviews different anatomical concepts, puncture techniques, diagnostic assessments, and closure strategies of the main arterial and venous approaches for the diagnosis and treatment of different structural heart procedures. |
Note: | Reproducció del document publicat a: https://doi.org/10.24875/RECICE.M22000331 |
It is part of: | REC: interventional cardiology (English Edition), 2022, vol. 4, num. 4, p. 311-318 |
URI: | http://hdl.handle.net/2445/193121 |
Related resource: | https://doi.org/10.24875/RECICE.M22000331 |
ISSN: | 2604-7322 |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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09_recic_22_038_ar_freixa_uktrad.pdf | 371.02 kB | Adobe PDF | View/Open |
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