ArticleEuropean journal of clinical investigation2021
The Iliofemoral tortuosity score predicts access and bleeding complications during transfemoral transcatheter aortic valve replacement: DataData from the VIenna Cardio Thoracic aOrtic valve registrY (VICTORY).
Article in European journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Computed tomography derived anatomical predictors of vascular access complications following transfemoral transcatheter aortic valve implantation: A systematic review.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2024Pooled it
- Peripheral vessel tortuosity index and prognosis in patients undergoing transcatheter aortic valve implantation.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Comprehensive CT Assessment of Subclavian Artery Tortuosity: Implications for Optimal Radial Access Selection.JACC. Advances · 2026Article
- Cardiac Computed Tomography in Structural Heart Interventions: From Preprocedural Planning to Procedural Strategy.Reviews in cardiovascular medicine · 2025Review
- Managing Complex Anatomical Scenarios in Tavi: Evidence and an Institutional Perspective.Journal of clinical medicine · 2025Review
- Access Options for Transcatheter Aortic Valve Replacement.Journal of clinical medicine · 2025Review
- Navigating Treble Clef Aorta: A Challenge for Transfemoral Transcatheter Aortic Valve Replacement-A Case Report.Journal of the Society for Cardiovascular Angiography & Interventions · 2025Article
- Transcatheter aortic valve implantation complexity score.Open heart · 2025Article
- Balloon dilation in sheath technique in transcatheter aortic valve replacement via narrow femoral artery: first-in-human early feasibility study.Frontiers in medicine · 2025Article
- The Effect of Arterial Elongation on Isolated Common Iliac Artery Pathologies.Life (Basel, Switzerland) · 2024Article
- Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?Journal of cardiothoracic surgery · 2024Article
- Effect of Sex, Age, and Cardiovascular Risk Factors on Aortoiliac Segment Geometry.Journal of clinical medicine · 2024Article
- The role of external iliac artery diameter indexed to BSA score in predicting vascular access complications after transfemoral transcatheter aortic valve implantation.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024Article
- Femoral vessel complications after transfemoral TAVR-A contemporary sonography-based assessment of 480 patients with third-generation transcatheter valves.Clinical cardiology · 2024Article
- Review
- Predicting the risk of iliofemoral vascular complication in complex transfemoral-TAVR using new generation transcatheter devices.Frontiers in cardiovascular medicine · 2023Article
- Current Prostheses for Transcatheter Heart Valve Replacement: A Technical and Clinical Review.Reviews in cardiovascular medicine · 2022Review
- Article
- TAVI-CT score to evaluate the anatomic risk in patients undergoing transcatheter aortic valve implantation.Scientific reports · 2022Article
- Strategies for Facilitating Totally Percutaneous Transfemoral TAVR Procedures.Journal of clinical medicine · 2022Review
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Authors and funding
14 authors.
Funding
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Abstract
backgroundArterial tortuosity is linked to a higher risk of adverse clinical events after transfemoral transcatheter aortic valve replacement (TF-TAVR). Currently, there are no assessment tools that can quantify this variable in three-dimensional space. This study investigated the impact of novel scoring methods of iliofemoral tortuosity on access and bleeding complications after TF-TAVR.
methodsThe main access vessel was assessed between the aortoiliacal and femoral bifurcation in preoperative multislice computed tomography scans of 240 consecutive patients undergoing TF-TAVR. Tortuosity was assessed by three methods: largest single angle, sum of all angles, and iliofemoral tortuosity (IFT) score [((true vessel length/ideal vessel length)-1)*100]. The primary study endpoint was a composite of access and bleeding complications. The secondary study endpoints were 30-day mortality and long-term survival.
resultsAmong 240 patients, only the IFT score demonstrated a good positive correlation with the composite primary endpoint of access and bleeding complications (P = 0.031). A higher incidence of access and bleeding complications was found in patients with a higher IFT score (56 [36.8%] vs 17 [19.3%]; P = 0.003). In a multivariate logistic regression analysis, only the IFT score was a significant predictor of the primary endpoint (OR: 2.11; 95% CI: 1.09-4.05; P = 0.026).
conclusionVascular tortuosity is an underestimated risk factor during TF-TAVR. The IFT score is a valuable tool in risk stratification before TF-TAVR, predicting periprocedural access and bleeding complications.
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