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Access site bleeding after transcatheter aortic valve implantation

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Abstract

Surgical aortic valve replacement improves morbidity and mortality in patients with severe aortic valve stenosis and is treatment of choice for symptomatic patients. As high, one-third of patients with severe AS are considered inoperable due to associated high surgical risk. Recently, transcatheter aortic valve implantation (TAVI) has been demonstrated to improve survival, quality of life, and functional status in patients who are considered inoperable due to high risk of surgery. However, access site and non-access site bleeding are major procedural complications after TAVI and are associated with worse clinical outcomes. In this review, we systematically study the access site complication associated with TAVI and approaches that can minimize these complications.

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Authors and Affiliations

  1. Department of Internal Medicine, Maimonides Medical Center, 1016 50th Street Apt 2C, Brooklyn, NY, 11219, USA

    Abhishek Sharma

  2. Division of Cardiology, Johns Hopkins University, Baltimore, MD, USA

    Armin Arbab-Zadeh

  3. Department of Medicine, UT Southwestern, Dallas, TX, US

    Divyanshu Dubey

  4. Division of Cardiology, Maimonides Medical Center, New York, NY, USA

    Jacob Shani & Robert Frankel

  5. Division of Cardiology, SUNY Downstate Medical Center, Brooklyn, NY, USA

    Jason Lazar

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  1. Abhishek Sharma
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  2. Armin Arbab-Zadeh
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Correspondence to Abhishek Sharma.

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Sharma, A., Arbab-Zadeh, A., Dubey, D. et al. Access site bleeding after transcatheter aortic valve implantation. J Thromb Thrombolysis 35, 463–468 (2013). https://doi.org/10.1007/s11239-013-0928-6

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