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Femoral vs nonfemoral subclavian/carotid arterial access route for transcatheter aortic valve replacement: A systematic review and meta‐analysis

Journal of the American Heart Association Oct 16, 2020

Faroux L, Junquera L, Mohammadi S, et al. - Researchers compared transcarotid/transsubclavian vs transfemoral transcatheter aortic valve replacement recipients, in terms of the risk of 30‐day complications and death. For this purpose, they used data from 20 studies. They examined the unadjusted and adjusted effect of the arterial approach. According to the findings, an increased risk of stroke was observed in relation to transcarotid and transsubclavian approaches for transcatheter aortic valve replacement vs the transfemoral approach. However, when considering confounding factors, no increased risk of 30‐day death, bleeding, or vascular complication was noted in relation to these nonfemoral arterial alternative accesses.

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