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 obtained through surgical cut-down, with the patient under general anaesthesia. More recently, a percutaneous TAx procedure has been developed1. At our centre, a modified percutaneous TAx approach has been used as an alternative access since 2017 using the novel MANTA® (Essential Medical [now Teleflex], Malvern, PA, USA) vascular closure device (VCD) to achieve haemostasis2. The MANTA is approved for vascular closure after TF TAVI but so far there is limited experience ...
Sign in to read and download the full articleForgot your password?
Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com