The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Percutaneous access and closure using the MANTA vascular closure device in Trans-axillary Transcatheter Aortic Valve Implantation

DOI: 10.4244/EIJ-D-19-00809

1. Cardiovascular Theme, Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Department of Medicine, Karolinska Institutet, Stockholm, Sweden, Sweden
2. Department of Medicine, Karolinska Institutet, Stockholm, Sweden
3. Cardiovascular Theme, Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden
4. Cardiovascular Theme, Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
Disclaimer:

As a public service to our readership, this article - peer reviewed by the Editors of EuroIntervention - has been published immediately upon acceptance as it was received. The content of this article is the sole responsibility of the authors, and not that of the journal or its publishers.

To read the full content of this article, please download the PDF. Download full article (PDF)

The transaxillary (TAx) arterial access is used for Transcatheter Aortic Valve Implantation (TAVI) when the transfemoral (TF) access is inappropriate.The TAx access is traditionally performed through surgical cut-down, with the patient under general anaesthesia. More recently a percutaneous TAx procedure has been developed [1]. At our centre, a modified percutaneous TAx approach has been used as alternative access since 2017 using the novel MANTA (Essential Medical, Malvern, PA) vascular closure device (VCD) to achieve haemostasis [2]. MANTA is approved for vascular closure after TF TAVI but there are is so far limited experience with MANTA VCD in percutaneous transaxillary access.

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article

Influence of Final Kissing Balloon Inflation on Long-term Outcomes After PCI of Distal Left Main Bifurcation Lesions: Analysis From the EXCEL Trial