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
Show affiliations +
Journal:
REC: Interventional Cardiology

ISSN: 2604-7276,  2604-7306

Year of publication: 2022

Volume: 4

Issue: 4

Pages: 311-318

Type: Article

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

More publications in: REC: Interventional Cardiology

Abstract

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.

Bibliographic References

  • 1. Seto AH, Abu-Fadel MS, Sparling JM, et al. Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: FAUST (Femoral Arterial Access With Ultrasound Trial). JACC Cardiovasc Interv. 2010;3:751-758.
  • 2. Toggweiler S, Leipsic J, Binder RK, et al. Management of vascular access in transcatheter aortic valve replacement: part 2: Vascular complications. JACC Cardiovasc Interv. 2013;6:767-776.
  • 3. Leon MB, Smith CR, Mack MJ, et al. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2016;374:1609-1620.
  • 4. Forrest JK, Deeb GM, Yakubov SJ, et al. 2-Year Outcomes After Transcatheter Versus Surgical Aortic Valve Replacement in Low-Risk Patients. J Am Coll Cardiol. 2022;79:882-896.
  • 5. van Wiechen MP, Tchetche D, Ooms JF, et al. Suture- or Plug-Based Large-Bore Arteriotomy Closure: A Pilot Randomized Controlled Trial. JACC Cardiovasc Interv. 2021;14:149-157.
  • 6. Junquera L, Urena M, Latib A, et al. Comparison of Transfemoral Versus Transradial Secondary Access in Transcatheter Aortic Valve Replacement. Circ Cardiovasc Interv. 2020;13:e008609.
  • 7. Jimenez-Quevedo P, Nombela-Franco L, Munoz-Garcia E, et al. Early clinical outcomes after transaxillary versus transfemoral TAVI. Data from the Spanish TAVI registry. Rev Esp Cardiol. 2021;75:479-487.
  • 8. Schafer U, Ho Y, Frerker C, et al. Direct percutaneous access technique for transaxillary transcatheter aortic valve implantation: “the Hamburg Sankt Georg approach”. JACC Cardiovasc Interv. 2012;5:477-486.
  • 9. Amat-Santos IJ, Santos-Martinez S, Conradi L, et al. Transaxillary transcatheter ACURATE neo aortic valve implantation - The TRANSAX multicenter study. Catheter Cardiovasc Interv. 2021;98:E291-E298.
  • 10. Hameed I, Oakley CT, Hameed NUF, et al. Alternate accesses for transcatheter aortic valve replacement: A network meta-analysis. J Card Surg. 2021;36:4308-4319.
  • 11. Panagides V, Kalavrouziotis D, Dumont E, et al. Cranial nerve injury during transcarotid transcatheter aortic valve replacement. Int J Cardiol. 2022;353:46-48.
  • 12. Greenbaum AB, Babaliaros VC, Chen MY, et al. Transcaval Access and Closure for Transcatheter Aortic Valve Replacement: A Prospective Investigation. J Am Coll Cardiol. 2017;69:511-521.
  • 13. Giacchi G, Freixa X, Hernández-Enríquez M, et al. Minimally Invasive Transradial Percutaneous Closure of Aortic Paravalvular Leaks: Following the Steps of Percutaneous Coronary Intervention. Can J Cardiol. 2016;32:1575.e17-e19.
  • 14. Estévez-Loureiro R, Benito-González T, Gualis J, et al. Percutaneous paravalvular leak closure after CoreValve transcatheter aortic valve implantation using an arterio-arterial loop. J Thorac Dis. 2017;9:E103-E108.
  • 15. Singh HS, Benson LN, Osten M, Horlick E. Cardiac Catheterization in Adult Congenital Heart Disease. En: Gatzoulis MA, Webb Piers GD, Daubeney EF, eds. Management of Adult Congenital Heart Disease. 3rd ed. Philadelphia: Elsevier; 2018.
  • 16. Salinas P, Sánchez-Recalde A, Galeote G, et al. Intervencionismo percutáneo sobre coartación aórtica en el paciente adulto. En: Martín-Moreiras J, Cruz-González I, eds. Manual de Hemodinámica e Intervencionismo Cardiaco. Madrid: Marbán; 2014.
  • 17. Ebeid MR. Transhepatic vascular access for diagnostic and interventional procedures: Techniques, outcome and complications. Catheter Cardiovasc Interv. 2007;69:594-606.
  • 18. National Institute for Health and Care Excellence. Guidance on the use of ultrasound locating devices for placing central venous catheters. NICE; 2002. Disponible en: https://www.nice.org.uk/guidance/ta49/resources/guidance-on-the-use-of-ultrasound-locating-devices-for-placing-central-venous-catheters-pdf-2294585518021. Consultado 1 Jun 2022.
  • 19. Privitera D, Mazzone A, Pierotti F, et al. Ultrasound-guided peripheral intravenous catheters insertion in patient with difficult vascular access: Short axis/out-of-plane versus long axis/in-plane, a randomized controlled trial. J Vasc Access. 2021;23(4):589-597.
  • 20. Wyss CA, Anliker O, Gämperli O, et al. Closure of Large Percutaneous Femoral Venous Access Using a Modified “Figure-of-Eight” Suture. Innovations (Phila). 2018;13:147-151.
  • 21. Coto HA. Closure of the femoral vein puncture site after transcatheter procedures using Angio-Seal. Catheter Cardiovasc Interv. 2002;55:16-19.
  • 22. Geis NA, Pleger ST, Chorianopoulos E, et al. Feasibility and clinical benefit of a suture-mediated closure device for femoral vein access after percutaneous edge-to-edge mitral valve repair. EuroIntervention. 2015;10:1346-1353.
  • 23. Yap J, Chen S, Smith TWR, et al. Transjugular mitral valve repair with the MitraClip: A step-by-step guide. Catheter Cardiovasc Interv. 2020;96:699-705.
  • 24. Asmarats L, Puri R, Latib A, Navia JL, Rodés-Cabau J. Transcatheter Tricuspid Valve Interventions: Landscape, Challenges, and Future Directions. J Am Coll Cardiol. 2018;71:2935-2956.
  • 25. Moñivas V, Li P, Sanchis R, et al. Tratamiento percutáneo de la insuficiencia tricuspídea. Procedimiento detallado guiado por imagen con MitraClip. REC Interv Cardiol. 2020;2:118-128.
  • 26. Romaguera R, Ojeda S, Cruz-González I, Moreno R. Spanish Cardiac Catheterization and Coronary Intervention Registry. 30th Official Report of the Interventional Cardiology Association of the Spanish Society of Cardiology (1990-2020) in the year of the COVID-19 pandemic. Rev Esp Cardiol. 2021;74:1095-1105.
  • 27. Qintar M, Villablanca P, Lee J, et al. Patent foramen ovale closure with vena cava thrombus: You need an arm and a neck! Clin Case Rep. 2021;9:e03884.
Data source: Dialnet