Access site bleeding after transcatheter aortic valve implantation

作者：Sharma Abhishek^*; Arbab Zadeh Armin; Dubey Divyanshu; Shani Jacob; Lazar Jason; Frankel Robert

来源：Journal of Thrombosis and Thrombolysis, 2013, 35(4): 463-468.

DOI：10.1007/s11239-013-0928-6

• Transcatheter aortic valve implantation (TAVI)
• Aortic stenosis
• Access site bleeding

Surgical aortic valve replacement improves morbidity and mortality in patients with severe aortic valve stenosis and is treatment of choice for symptomatic patients. As high, one-third of patients with severe AS are considered inoperable due to associated high surgical risk. Recently, transcatheter aortic valve implantation (TAVI) has been demonstrated to improve survival, quality of life, and functional status in patients who are considered inoperable due to high risk of surgery. However, access site and non-access site bleeding are major procedural complications after TAVI and are associated with worse clinical outcomes. In this review, we systematically study the access site complication associated with TAVI and approaches that can minimize these complications.

• 出版日期2013-5