Ultrasound- Versus Fluoroscopy-Guided Strategy for Transfemoral Transcatheter Aortic Valve Replacement Access: A Systematic Review and Meta-Analysis

Circ Cardiovasc Interv. 2021 Oct;14(10):e010742. doi: 10.1161/CIRCINTERVENTIONS.121.010742. Epub 2021 Sep 20.

Rafail A Kotronias^#^{1

2}, Jonathan J H Bray^#^{1

3

4}, Skanda Rajasundaram¹, Flavien Vincent⁵, Cedric Delhaye⁵, Roberto Scarsini^{1

6}, Federico Marin¹, Dimitrios Terentes-Printzios¹, Julian P J Halcox³, Mamas A Mamas⁷, Rajesh Kharbanda¹, Eric Van Belle⁵, Adrian P Banning¹

¹ Oxford Heart Centre, Oxford University Hospitals, NHS Trust, United Kingdom (R.A.K., J.J.H.B., S.R., R.S., F.M., D.T.-P., R.K., A.P.B.).
² Department of Cardiovascular Medicine, University of Oxford, United Kingdom (R.A.K.).
³ Institute of Life Sciences 2, Swansea Bay University Health Board and Swansea University Medical School, United Kingdom (J.J.H.B., J.P.J.H.).
⁴ University Hospital of Wales, Cardiff and Vale University Health Board, United Kingdom (J.J.H.B.).
⁵ Centre Hospitalier Universitaire de Lille-Cardiologie, France (F.V., C.D., E.V.B.).
⁶ Department of Medicine, Division of Cardiology, University of Verona, Italy (R.S.).
⁷ Keele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, UK and Heart Centre, Thomas Jefferson University, Philadelphia (M.A.M.).

^# Contributed equally.

Abstract

[Figure: see text].

Keywords: fluoroscopy; morbidity; peripheral vascular diseases; punctures; transcatheter aortic valve replacement; ultrasound.