Use of single large-bore access for transcatheter aortic valve replacement (TAVR) in complex clinical scenarios: A case series

Sometimes secondary vascular access during transfemoral transcatheter aortic valve replacement (TAVR) may be challenging due to hostile vascular anatomy, representing a further source of vascular complications. In such cases, a minimalist approach with single femoral access (“all-in-one” technique) may be performed. Here we describe how to successfully perform the “all-in-one” technique, reporting 3 cases of transfemoral TAVR for which a single-access approach was used to overcome challenges in obtaining secondary arterial access and minimize sources of vascular complications, according to patients' characteristics and procedural aspects.