Evidence map›Paper›PMID 40231056›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions2025

SCAI Expert Consensus Statement on Alternative Access for Transcatheter Aortic Valve Replacement.

Matthew Sherwood, Keith B Allen, Thom G Dahle, Chandan M Devireddy, Jeffrey Gaca, Santiago Garcia, Kendra J Grubb, Tsuyoshi Kaneko, Chad A Kliger, Robert J Lederman and 7 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Percutaneous Transaxillary Access for Large-Bore Cardiovascular Interventions: Evidence, Technique, and Complication Management.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Transcaval Access for Impella Placement: A Viable Alternative in Appropriate Patients.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  14. Article
  15. Alternative Access for Transcatheter Aortic Valve Replacement: An Ode to the Road Less Traveled.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  16. Access Site and Pacemaker Outcomes After TAVR in HFrEF Patients: Axillary vs Femoral Approach.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Matthew SherwoodInova Heart and Vascular Institute, Fairfax, Virginia.
Keith B AllenSaint Luke's Mid America Heart Institute, Kansas City, Missouri.
Thom G DahleCentraCare Heart and Vascular Center, St. Cloud, Minnesota.
Chandan M DevireddyEmory University School of Medicine, Atlanta, Georgia.
Jeffrey GacaDuke University Hospital, Durham, North Carolina.
Santiago GarciaThe Christ Hospital Health Network, Cincinnati, Ohio.
Kendra J GrubbEmory University School of Medicine, Atlanta, Georgia.
Tsuyoshi KanekoWashington University in St. Louis, St. Louis, Missouri.
Chad A KligerNorthwell Health, New Hyde Park, New York.
Robert J LedermanDivision of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland.
John C MessengerUniversity of Colorado Medicine, Aurora, Colorado.
Puja B ParikhStony Brook University Hospital, Stony Brook, New York.
Marie-France PoulinBeth Israel Deaconess Medical Center, Boston, Massachusetts.
Carlos SanchezRiverside Methodist Hospital, Columbus, Ohio.
Anene UkaigweCase Western Reserve University Hospital, Cleveland, Ohio.
James J YunCleveland Clinic, Cleveland, Ohio.
Paul D MahoneyEast Carolina University, Greenville, North Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcatheter aortic valve replacement (TAVR) has become a widely accepted procedure for treating patients with symptomatic aortic stenosis. While transfemoral access remains the primary route due to its lower complication rates and favorable outcomes, a subset of patients have anatomical or clinical factors precluding this approach. For these patients, alternative access routes such as transaxillary, transcarotid, and transcaval provide viable options. This expert consensus statement aims to provide a comprehensive review of case selection, technical considerations, and outcomes associated with these alternative access routes in TAVR. Additionally, this document highlights the advancements in device technology and imaging guidance that have contributed to improving the safety and efficacy of alternative access TAVR. This consensus statement serves as a practical guide on best practices for interventional cardiologists, cardiothoracic surgeons, and heart teams in selecting patients and performing alternative access TAVR.

Indexed as

alternative accesstranscarotidtranscatheter aortic valve replacementtranscavalvascular access

Identifiers

PMID40231056
PMCPMC11993896

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.