vascular complications

Clinical Images

Long-Sheath Assisted Transcatheter Aortic Valve Replacement: The Best and Worst Cases

04/01/2023

Peter Panagos , MD;

Ryan D. Wilson ;

Itaru Takamisawa , MD;

Ryan D. Pappal , MD, NRP;

Laura Heitsch , MD;

Transfemoral transcatheter aortic valve replacement (TAVR) is quite challenging in patients with tortuous aorta. Recently, the combined method of buddy-wire and long-sheath use was reported.1,2 We experienced 2 cases having tortuous aorta...

Transfemoral transcatheter...

04/01/2023

Journal of Invasive Cardiology

Original Contribution

Vascular Complications of Percutaneous Coronary Intervention Via Distal Radial Artery Approach in Patients With Acute Myocardial Infarction With and Without ST-Segment Elevation

04/01/2022

Akihiko Takahashi , MD, PhD;

Norimasa Taniguchi , MD, PhD;

Takeshi Yamada , MD;

Yuki Matsubara , MD;

Shunsuke Nakajima , MD, PhD;

Soichiro Washimi , MD;

Tetsuya Hata , MD;

Sho Hashimoto , MD;

Distal radial artery access is a novel alternative to conventional radial artery access for coronary catheterization. This study investigated the incidence of vascular complications with percutaneous coronary intervention from DRA access...

Distal radial artery access is a...

04/01/2022

Journal of Invasive Cardiology

Fellows' Corner

Back to Basics: Arterial Sheath Management

12/17/2021

Erica Fidone , MD;

Justin Price , MD;

Craig M. Walker , MD, FACC, FACP, FSCAI, FCCP;

The authors present the case of a clotted femoral arterial sheath that was recognized and corrected prior to the development of complications.

The authors present the case of...

12/17/2021

Vascular Disease Management

Fellows' Corner Video

Back to Basics: Arterial Sheath Management

12/16/2021

Erica Fidone , MD;

In this video, Erica Fidone, MD, discusses appropriate vascular access techniques to decrease peri-procedural complications.

In this video, Erica Fidone, MD,...

12/16/2021

Vascular Disease Management

Original Contribution

Secondary Femoral Access Hemostasis During Transcatheter Aortic Valve Replacement: Impact of Vascular Closure Devices

08/01/2021

Marina Urena , MD;

Antonio Munoz-Garcia , MD;

Gabriela Veiga-Fernandez , MD;

Vicenç Serra ;

Quentin Fischer , MD;

Dominique Himbert , MD;

Erika Munoz-Garcia , MD;

Rafael Vera-Urquiza , MD;

Laurent Faroux , MD, MSc;

Isaac Pascual , MD;

Lucia Junquera , MD;

Bruno Garcia Del Blanco , MD;

Josep Rodés-Cabau , MD, PhD;

Siamak Mohammadi , MD;

Melanie Côté , MD, MSc;

Benjamin Faurie , MD, PhD;

Luis Nombela-Franco , MD;

Pilar Jimenez-Quevedo , MD;

Alberto Alperi , MD, PhD;

Thomas Couture , MS;

Jose de la Torre Hernandez , MD, PhD;

Vascular and bleeding complications related to secondary femoral access site are frequent in patients undergoing TAVR, and their occurrence is associated to poorer outcomes. We aimed to evaluate the clinical impact of VCDs for secondary...

Vascular and bleeding...

08/01/2021

Journal of Invasive Cardiology

Clinical Impact of Crossover Techniques for Primary Access Hemostasis in Transfemoral Transcatheter Aortic Valve Replacement Procedures

04/01/2021

Jean-Michel Paradis , MD;

Alberto Alperi , MD, PhD;

Manel Sabaté , MD, PhD;

Thomas Couture , MS;

Marina Urena , MD;

Antonio Munoz-Garcia , MD;

Vicenç Serra ;

Dominique Himbert , MD;

Erika Munoz-Garcia , MD;

Isaac Pascual , MD;

Bruno Garcia Del Blanco , MD;

Antonio Colombo , MD;

Melanie Côté , MD, MSc;

Ander Regueiro , MD;

Azeem Latib , MD, BCh, MBBCh;

Lucia Junquera , MD;

Quentin Fisher , MD;

Benjamin Faurie , MD, PhD;

Guillem Muntane-Carol , MD;

Rafael Vera Urquiza , MD;

Antonio Mangieri , MD;

Siamak Mohammadi , MD;

Afonso B. Freitas-Ferraz , MD;

Luis Nombela-Franco , MD;

Josep Rodés-Cabau , MD, PhD;

Pilar Jimenez-Quevedo , MD;

Our objective was to determine the occurrence of vascular complications following transfemoral transcatheter aortic valve replacement with new-generation devices according to the use of a crossover technique.

Our objective was to determine...

04/01/2021

Journal of Invasive Cardiology

Original Contribution

Radial Versus Femoral Approach in Women Undergoing Coronary Angiography: A Meta-Analysis of Randomized Controlled Trials

08/14/2019

Lucas Burke , MD;

Verghese Mathew , MD;

Shadi Al Halabi , MD, MPH;

Fizza Hussain , MD;

Ivo Bernat , MD, PhD;

Adhir R. Shroff , MD, MPH, FACC, FSCAI;

John J. Lopez , MD;

We sought to compare outcomes with radial vs femoral approach in female patients undergoing coronary angiography.

We sought to compare outcomes...

08/14/2019

Journal of Invasive Cardiology

Original Contribution

Comparison of Radial Access, Guided Femoral Access, and Non-Guided Femoral Access Among Women Undergoing Percutaneous Coronary Intervention

10/15/2017

Roxana Mehran , MD;

Linda M. Koshy , MD;

Sanjit S. Jolly , MD, MSc, FRCP;

Laura H. Aberle , BSPH;

Connie N. Hess , MD, MHS;

Sunil V. Rao , MD, FACC, FSCAI;

Ernest Mazzaferri Jr., MD;

Ian C. Gilchrist , MD;

Alice Jacobs , MD;

Mitchell W. Krucoff , MD;

This study was conducted to determine the association between radial access, guided femoral access, and non-guided femoral access on postprocedural bleeding and vascular complications after percutaneous coronary intervention.

This study was conducted to...

10/15/2017

Journal of Invasive Cardiology

Original Contribution

Vascular Assessment for Transcatheter Aortic Valve Replacement: Intravascular Ultrasound Compared With Computed Tomography

11/30/2016

Scott M. Lilly , MD, PhD;

Juan Crestanello , MD;

Nader Makki , MD;

Barry S. George , MD, FACC, FSCAI;

Quinn Capers IV, MD;

Konstantinos Dean Boudoulas , MD;

Peter M. Bittenbender , MD;

Essa Essa , MD, MBBS;

Gregory Rushing , MD;

This study compared computed tomography angiography with intravascular ultrasound in patients undergoing TAVR evaluation.

This study compared computed...

11/30/2016

Journal of Invasive Cardiology

Original Contribution

Comparison Between Radial Approach and Femoral Approach With Vascular Closure Devices on the Occurrence of Access-Site Complications and Periprocedural Bleeding After Percutaneous Coronary Procedures: A Systematic Review and Meta-Analysis

09/15/2016

Alessandro Sciahbasi , MD, PhD;

Stefano Rigattieri , MD, PhD;

Yves Louvard , MD;

Silvio Fedele , MD;

Francesco Rocco Pugliese , MD;

Karim Ratib , MD;

Alessandro Alonzo , MD;

Nicholas Cox , MD;

Piotr Chodór , MD;

Andrea Berni , MD;

Christopher J. Cooper , MD;

James Nolan , MD;

Sunil V. Rao , MD, FACC, FSCAI;

We performed a systematic review and meta-analysis of available studies comparing the efficacy of radial access vs femoral access with hemostasis by vascular closure device on the reduction of access-site complications and/or periprocedural...

We performed a systematic review...

09/15/2016

Journal of Invasive Cardiology