Single access transfemoral transcatheter aortic valve implantation for challenging iliofemoral route

Background Optimal access for transcatheter aortic valve implantation is still a matter of debate. A tailored approach for patient anatomy is mandatory to reduce vascular complications and improve outcomes. Aims To optimize surgical technique in challenge scenario. Material and Methods Here, we present a case of transfemoral transcatheter aortic valve replacement performed using single arterial access. Results A 92 years old patients affected by severe aortic stenosis showed no secondary arterial access. A single access approach was performed using the aortic valve calcification and the inferior margin of the second rib as lankdmarks for valve implantation. Discussion and Conclusions Alternative options for TAVR are mandatory to deal with complex cases. The described technique is a simple and reproducible approach.