Ipsilateral arterial access for management of vascular complication in transcatheter aortic valve implantation
Catheterization and Cardiovascular Interventions, 06/29/2012
Frerker C et al. – There was a significant reduction of acute kidney injury and contrast use with using the double access technique. The rate of minor vascular complication was higher within the double access group. In contrast, major vascular complication and subsequent surgical repair was numerically lower within the double access group. However, 30d mortality was statistically not different with using the double access technique. Performing a distal puncture to the principal access site serves as a safety net to economize the use of contrast dye and to maintain an open lumen for percutaneous treatment of a vascular complication.