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

Echocardiography. 2021 Mar;38(3):506-507. doi: 10.1111/echo.15016. Epub 2021 Feb 25.

Abstract

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® ).

Keywords: TAVR; aortofemoral bypass; interdisciplinary heart team; vascular closure device.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve* / diagnostic imaging
  • Aortic Valve* / surgery
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery
  • Hemostatic Techniques
  • Humans
  • Punctures
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome