Purpose of review: Examine the latest data and techniques regarding transcaval access and closure.
Recent findings: Transcaval access was proven to be a feasible and a translatable skill in a 100 patient open-label prospective study. No late complications from fistulas occurred and of all patients alive at 1 year, one fistula remained open. Transcaval is a viable access route for large bore devices. With adequate planning, bleeding and vascular complications are minimal. It should be integrated into the rubric of transcatheter large bore access.
Keywords: Alternative access; Transcatheter aortic valve replacement; Transcaval.