Conflict of interest: M.M. is a proctor for Edwards Lifesciences and F.M. is a proctor for Medtronic. The other authors have no conflict of interest to disclose in relation to this article.
Valvular and Structural Heart Diseases
A “modified crossover technique” for vascular access management in high-risk patients undergoing transfemoral transcatheter aortic valve implantation
Article first published online: 8 NOV 2012
Copyright © 2012 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 81, Issue 4, pages 579–583, March 2013
How to Cite
Buchanan, G. L., Chieffo, A., Montorfano, M., Maccagni, D., Maisano, F., Latib, A., Covello, R. D., Grimaldi, A., Alfieri, O. and Colombo, A. (2013), A “modified crossover technique” for vascular access management in high-risk patients undergoing transfemoral transcatheter aortic valve implantation. Cathet. Cardiovasc. Intervent., 81: 579–583. doi: 10.1002/ccd.24380
- Issue published online: 22 FEB 2013
- Article first published online: 8 NOV 2012
- Accepted manuscript online: 18 APR 2012 04:51AM EST
- Manuscript Accepted: 17 FEB 2012
- Manuscript Revised: 6 JAN 2012
- Manuscript Received: 6 OCT 2011
Additional Supporting Information may be found in the online version of this article.
|ccd24380-sup-0001-SuppFig1.tif||2305K||Supporting Fig. 1. An illustration of the ‘modified crossover technique’ for vascular access management. Panel A demonstrates the position of the 0.018″ guidewire advanced from the left radial artery to the distal therapeutic femoral artery. An angiographic image is made injecting contrast through a multi-purpose catheter to identify the therapeutic access site anatomy. In Panel B following valve delivery, the large bore sheath is retracted and an over-the-wire balloon is positioned via the left radial artery to the common iliac of the therapeutic site. This can then be inflated at low pressure (Panel C) to allow sheath removal and full Prostar closure in a bloodless field. Panel D shows the final angiographic image of the closure site by injecting contrast through the central lumen of the over-the-wire balloon, to ensure no vascular complications.|
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