Trans-subclavian Access in Transcatheter Aortic Valve Implantation (TAVI): an Elegant Alternative for Non-ideal Candidates to the Transfemoral Access Method
نویسندگان
چکیده
T ranscatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for patients with severe aortic stenosis that are considered to be at high or prohibitive surgical risk.1 While the transfemoral approach has been considered to be the primary approach in the vast majority of centres and studies, non-optimal iliofemoral vessel characteristics preclude the safe placement of sheaths in a large number of patients. In addition to the small size of the iliofemoral arteries, approximately one-third of TAVI candidates present with significant peripheral vascular disease.1
منابع مشابه
Transapical approach for transcatheter aortic valve implantation.
With the advancement of device technology and procedural techniques, most transcatheter aortic valve implantation (TAVI) procedures have been performed with the transfemoral approach in recent years (1). However, alternative approaches such as transapical, trans-subclavian, direct aortic and others still play an important role in patients with poor vascular access. Transapical approach is the o...
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Transcathater aortic valve implantation (TAVI) has emerged as a promising alternative for patients with severe, symptomatic aortic stenosis who are not candidates for surgery due to high comorbidity and operation mortality (1, 2). Transfemoral approach (TF) is the generally accepted route for TAVI. However, small vessel diameter and peripheral arterial disease hinder this access (3). Presently ...
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Many patients have ilio-femoral vessel anatomy unsuitable for conventional trans-femoral (TF) trans-catheter aortic valve implantation (TAVI). Safe and practical alternatives to the TF approach are therefore needed. This study compared outcomes of alternative non-femoral routes, trans-apical (TA), direct aortic (DA) and subclavian (SC), with standard femoral access. In this retrospective study,...
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BACKGROUND The carotid artery is a novel access route for transcatheter aortic valve implantation (TAVI). This may represent a viable alternative in patients unsuitable for TAVI via traditional transfemoral access, up to 20%, as well as other access routes such as subclavian, transapical and aortic. This systematic review summarises the current evidence for its safety and feasibility. METHODS...
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In this case report, we present an 86-year old patient with an intercostal pseudoaneurysm after transaortic transcatheter aortic valve implantation (TAVI). This new technique of a transaortic approach is considered a possible alternative to the more usual transfemoral, trans-subclavian or transapical access site, mainly in patients with extensive peripheral arterial disease. A mini-thoracotomy ...
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تاریخ انتشار 2014