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Introduction Procedural and clinical outcomes for patients referred to the cardiac catheterization laboratory, including those undergoing percutaneous structural heart interventions, depend on obtaining safe and adequate vascular access. Structural heart interventions often require percutaneous vascular access with large-bore sheaths—for example,…
Structural heart disease (SHD) intervention is the fastest-growing area in cardiology and cardiac surgery. The number of transcatheter procedures has increased from approximately 5000 procedures in 2012 to over 60,000 cases in 2018 in the United States alone ( Fig.…