Abstract
We performed a review of the literature (until August 01, 2019) on the occasion of the first transcaval approach for transcatheter aortic valve implantation in our hospital. This review focuses mainly on the indications of this alternative access route to the aorta. It may be useful for vascular surgeons in selected cases, such as the treatment of endoleaks after endovascular aneurysm repair and thoracic endovascular aneurysm repair. We describe historical aspects of transcaval access to the aorta, experimental studies, available case series and outcomes. Finally, we summarize the most significant technical aspects of this little-known access.
Highlights
Percutaneous aortic valve replacement, known as transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR), was first performed by Alan Cribier in 2002 (Rouen, France)[1]
The aim of this report is to review the indications for this vascular approach, which may be useful for vascular surgeons
We found 218 references in the PubMed/MEDLINE database (August 1, 2019) using the following keywords: transcaval (142 references), cavalaortic (15 references), transcaval aortic access (40 references), transcaval and endoleak (19 references), and transcaval and thoracic endovascular aneurysms repair (TEVAR) (2 references)
Summary
Percutaneous aortic valve replacement, known as transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR), was first performed by Alan Cribier in 2002 (Rouen, France)[1]. In Spain, the first implantation was performed in 2007, followed shortly by the first in our hospital. This procedure is currently performed in many hospitals. Collaboration between the Department of Angiology and Vascular Surgery and the Department of Cardiology in our hospital includes providing, in selected cases, an alternative to conventional vascular access approach (percutaneous femoral artery) for TAVI[2]. Alternative accesses have been described: transthoracic (transapical or transaortic) and extrathoracic (trans-subclavian and transaxillary, transcarotid, transcaval) accesses. The experience with these access routes has shown their advantages and disadvantages[5]
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