Abstract

Transcaval access for transcatheter aortic valve replacement: Use of Brockenbrough needle

Author(s): Christian Dauvergne, Pablo Antileo, Jorge Sandoval

Abstract: The impossibility of obtaining an access to the implant of the percutaneous aortic valve is a great challenge. The transcaval access is an alternative option that is used less frequently in patients with a high risk of surgical access. The usual transcaval access is described with the use of a rigid tip wire, aided by microcatheter and electrosurgery to across from cava vein to abdominal aorta. This clinical case shows a technical alternative to the transcaval access, with the help of Brockenbrough needle, commonly used to perform the transseptal puncture.