A Novel Risk Score Facilitates Femoral Artery Access in Transcatheter Aortic Valve Implantation: Passage-Puncture Score.

ABSTRACT:

Background

Vascular complications remain high in transfemoral transcatheter aortic valve implantation (TAVI). Careful evaluation of the femoral arteries is important to select the optimal access site.

Objectives

This study sought to describe a novel risk score (the passage-puncture score) for transfemoral access using a single suture-based closure system.

Methods

The passage-puncture score consists of the evaluation of 1) passage feasibility of the ilio-femoral arteries (passage score) and 2) puncture site feasibility (puncture score) based on pre-TAVI computed tomography. All patients underwent fluoroscopy-guided arterial puncture and closure with a suture-based closure system. The primary endpoint was the rate of vascular complications in discharge, including minor

SUBMITTER: Chen M 

PROVIDER: S-EPMC11403084 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature