Direct aortic transcatheter aortic valve implantation: a feasible approach for patients with severe peripheral vascular disease

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Eduardo Alegria-BarreroNeil Moat

Abstract

Aortic stenosis is a prevalent disease with poor prognosis if left untreated. Transcatheter aortic valve implantation (TAVI) is an emerging treatment for patients at high risk for surgery. We describe a patient with no suitable peripheral access due to peripheral vascular disease (PVD) for TAVI. Direct aortic approach via an 18-Fr sheath inserted into the ascending aorta was successfully performed with a 29-mm CoreValve implanted. Direct aortic approach is feasible for TAVI in patients with severe PVD without good peripheral access.

References

Apr 16, 2010·The Journal of Thoracic and Cardiovascular Surgery·Giuseppe BruschiLuigi Martinelli
Oct 22, 2010·The New England Journal of Medicine·Martin B LeonUNKNOWN PARTNER Trial Investigators
Apr 26, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Rüdiger LangeRobert Bauernschmitt
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Jul 28, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·James CockburnDavid Hildick-Smith

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Citations

Dec 22, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Carlo Di MarioUNKNOWN Transcatheter Valve Treatment Sentinel Registry (TCVT) Investigators of the EURObservational Research Programme (EORP) of th
Sep 18, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Vinayak N Bapat, Giuseppe Bruschi
Jan 1, 2014·Journal of Interventional Cardiology·Daniel J BlackmanUNKNOWN National Institute for Cardiovascular Outcomes Research (NICOR)
May 20, 2014·Surgery Today·Yoshiki Sawa

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