Abordaje de los accesos vasculares en intervencionismo en cardiopatía estructural

  1. Xavier Freixa 1
  2. Rafael Romaguera Torres 2
  3. J. Botas Rodríguez 3
  4. R. Trillo Nouche 4
  5. Javier Martín Moreiras 5
  6. Alfonso Jurado Román 6
  1. 1 Departamento de Cardiología, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, España
  2. 2 Departamento de Cardiología, Hospital Universitari de Bellvitge, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, España
  3. 3 Departamento de Cardiología, Hospital Universitario Fundación Alcorcón, Universidad Rey Juan Carlos I, Alcorcón, Madrid, España
  4. 4 Departamento de Cardiología, Hospital Clínico de Santiago de Compostela, Santiago de Compostela, A Coruña, España
  5. 5 Departamento de Cardiología, Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, España
  6. 6 Departamento de Cardiología, Hospital Universitario La Paz, Madrid, España
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Revista:
REC: Interventional Cardiology

ISSN: 2604-7276,  2604-7306

Any de publicació: 2022

Volum: 4

Número: 4

Pàgines: 311-318

Tipus: Article

DOI: 10.24875/RECIC.M22000327 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Altres publicacions en: REC: Interventional Cardiology

Resum

Vascular access is an essential part of all interventional procedures whether coronary or structural. Over the last 15 to 20 years, in coronary interventions, traditional femoral access has been mostly replaced by the radial approach. Nonetheless, the femoral approach through both artery and vein is still the main approach for structural heart procedures. Over the last few years, femoral access has evolved from a puncture guided by anatomical references to more accurate ultrasound-guided approaches. The relatively recent introduction of interventions such as transcatheter aortic valve replacement has conditioned the use of large introducers and ultimately the need for specific hemostatic systems, above all, percutaneous closure devices. This manuscript reviews different anatomical concepts, puncture techniques, diagnostic assessments, and closure strategies of the main arterial and venous approaches for the diagnosis and treatment of different structural heart procedures.

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Fuente de los datos: Dialnet