Transcaval TAVR outperforms transaxillary TAVR when femoral access is not an option

The steps involved to gain transcaval access between the inferior vena cava and the aorta to avoid problematic anatomical areas that would have otherwise disqualified a patient for a femoral access TAVR procedure. Illustration of the NIH

The steps involved to gain transcaval access between the inferior vena cava and the aorta to avoid problematic anatomical areas that would have otherwise disqualified a patient for a femoral access TAVR procedure. Illustration from the NIH

Transcaval TAVR was linked to a much lower stroke rate and fewer bleeding complications.