Image in cardiology

  • Hellmuth Weich Division of Cardiology, Department of Medicine, Stellenbosch University and Tygerberg Hospital
  • Christelle Ackermann Department of Radiodiagnosis, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital


The preferred route for transcatheter aortic valve implantation (TAVI) is via the femoral arteries. These vessels are frequently diseased in the typical elderly TAVI-candidate and therefore require a thorough pre-procedural evaluation. Failure to do so may result in vascular access complications with a high mortality risk. Rodés-Cabau, et al. showed 25% mortality within 30 days in cases with access site complications.(1,2) We therefore advocate imaging of the femoral vessels in all cases with either conventional angiography or CT-angiography.

Image in Cardiology