Conversations in IC: SCAI Expert Consensus Statement on Alternative Access for Transcatheter Aortic Valve Replacement-Video Interview: Alternative Access for TAVR SCAI Expert Consensus Statement

Video Interview: Alternative Access for TAVR SCAI Expert Consensus Statement

Video Transcription

Video Summary

In a discussion led by Professor Sandeep Nathan, an interventional cardiologist, experts reviewed a newly published consensus document in J-SKY on alternative access routes for transcatheter aortic valve replacement (TAVR). The document examines trends, best practices, and clinical outcomes of alternative TAVR access methods, which are used less frequently than transfemoral access. With less than 5% of TAVR cases requiring non-transfemoral access, the panel emphasized the importance of proctoring and mastering one or two techniques, such as transcarotid or transcaval, to manage these complex cases. They highlighted the role of augmented femoral access, stressing the need for more systematic data collection. The experts advocated for physician collaboration and consideration of care transfer to specialized centers when necessary. With evolving technology reducing device sizes, skills in alternative TAVR techniques remain vital for treating patients with specific vascular challenges.

Keywords

TAVR

aortic

TAVI

alternative access

transcarotid

transcaval

vascular challenges