Percutaneous transaxillary access for TAVR: Another opportunity to stay out of the chest

Key Points

• Axillary arteries are less calcified and tortuous than iliofemoral arteries
• Axillary artery minimal luminal diameters are usually >5.0 mm even in patients with iliofemoral artery diameters < 5.0 mm
• Axillary and transcaval access are the only non-surgical fully percutaneous options for large-bore arterial access for TAVR or mechanical circulatory support devices

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