Right subclavian approach in transcatheter aortic valve implantation using the CoreValve prosthesis

Typically, transfemoral access using the self-expanding CoreValve Revalving System is the initial default strategy in patients undergoing transcatheter aortic valve implantation (TAVI). Subclavian access is a potential alternative to the femoral route in patients with peripheral vascular disease. The left subclavian is preferred due to the favourable orientation of the delivery system through the aortic arch and annulus. However, right subclavian access may also be feasible in cases with specific anatomical conditions of the aortic root and valve annulus. We present a case where TAVI using the CoreValve prosthesis was performed via right subclavian artery with good 1 year outcome. (C) 2012 The Czech Society of Cardiology. Published by Elsevier Urban & Partner Sp.z.o.o. All rights reserved.