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

被引:4
作者
Alegria-Barrero, Eduardo [1 ]
Chan, Pak Hei [1 ]
Di Mario, Carlo [1 ]
Moat, Neil E. [2 ]
机构
[1] Royal Brompton Hosp, Cardiovasc Biomed Res Unit, London SW3 6NP, England
[2] Royal Brompton Hosp, Dept Cardiothorac Surg, London, England
关键词
Aortic stenosis; Transcatheter aortic valve implantation; Direct aortic approach;
D O I
10.1016/j.carrev.2011.12.004
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
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. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:201.e5 / 201.e7
页数:3
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