6533b854fe1ef96bd12af2c1

RESEARCH PRODUCT

Percutaneous puncture of an aorto‐bifemoral bypass graft and successful closure with MANTA ® device in transfemoral TAVR

M. OberhofferRalph Stephan Von BardelebenAlexander R TammHazem El BeyroutiMartin GeyerFelix KreidelThomas Münzel

subject

medicine.medical_specialtyPercutaneousbusiness.industryVascular accessClosure (topology)030204 cardiovascular system & hematologymedicine.diseaseSurgery03 medical and health sciencesStenosis0302 clinical medicineAortic valve replacementDirect punctureAccess sitemedicineRadiology Nuclear Medicine and imagingVascular closure device030212 general & internal medicineCardiology and Cardiovascular Medicinebusiness

description

Transfemoral aortic valve replacement (TAVR) has become a standard therapeutic option for patients with symptomatic severe aortic stenosis. Special anatomies can pose distinct challenges for vascular access and later closure of the access site, for example, in preoperated patients. Here, we elucidate a case of transfemoral TAVR with vascular access by direct puncture of an aorto-bifemoral bypass graft and illustrate the feasibility of vascular closure by an anchored collagen-plug vascular closure device (Teleflex MANTA® ).

https://doi.org/10.1111/echo.15016