Percu-Ax aortic valve implantation with a double arm approach: a case report

European Heart Journal. Case Reports
Carlo TraniFrancesco Burzotta

Abstract

Transaxillary route for structural and coronary percutaneous interventions represents a valid alternative access in patients with obstructive peripheral disease. Nevertheless, its widespread use is limited by a less manageable haemostasis procedure. In this case, we describe a minimalistic high-risk transcatheter aortic valve implantation (TAVI) procedure (TAVI Score 6.42%) conducted with a double arm approach (radial and axillary accesses) in an 88-year-old patient with severe aortic stenosis and multiple co-morbidities preventing both surgical (Society of Thoracic Surgeons mortality 7.9%) and percutaneous transfemoral approach (extensive peripheral artery disease). We also described the successful management of a complicated transaxillary haemostasis with this technique. In our cases, a minimalist double-arm approach was successfully used for TAVI procedure as an alternative to transfemoral approach assuring effective and safe management of vascular access haemostasis.

References

May 4, 2010·The Journal of Thoracic and Cardiovascular Surgery·Thomas ModinePascal Leprince
Jul 8, 2010·Circulation. Cardiovascular Interventions·Anna Sonia PetronioAntonio Colombo
Oct 13, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ramy A BadawiStephen R Ramee
Mar 16, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Florian DeuschlUlrich Schäfer
Nov 14, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Daniel M ArnettJames M McCabe
Jan 10, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ignacio J Amat-SantosJosé A San Román
Jan 12, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Francesco BurzottaCarlo Trani

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Methods Mentioned

BETA
percutaneous transluminal angioplasty

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