Access site bleeding after transcatheter aortic valve implantation

J Thromb Thrombolysis. 2013 May;35(4):463-8. doi: 10.1007/s11239-013-0928-6.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Aortic Valve Stenosis* / mortality
  • Aortic Valve Stenosis* / therapy
  • Blood Loss, Surgical* / mortality
  • Cardiac Catheterization* / adverse effects
  • Cardiac Catheterization* / instrumentation
  • Cardiac Catheterization* / methods
  • Heart Valve Prosthesis*
  • Humans
  • Risk Factors