Transfemoral Edwards-Novaflex valve implantation in a patient with aorto-iliac endoprosthesis and severely tortuous bilateral external iliac arteries-鈥淩ailing track鈥?/span>

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• 作者：Rajesh M. Dandale ; Gabriele Pesarini ; Francesco Santini ; Gionata Molinari ; Andrea Rossi ; Aldo Milano ; Giuseppe Faggian ; Corrado Vassanelli ; Flavio Ribichini ; ^{flavio.ribichini@univr.it}
• 关键词：Aortic stenosis ; Transcatheter aortic valve implantation ; Echocardiography
• 刊名：Cardiovascular Revascularization Medicine
• 出版年：2012
• 期刊代码：45_15538389
• 类别：med
• 出版时间：May-June, 2012
• 卷：13
• 期：3
• 页码：203.e5-203.e8
• 文件大小：1114 K

摘要

Transcatheter aortic valve implantation (TAVI) has nowadays been introduced as an alternative for surgical aortic valve replacement as a treatment for high risk aortic stenosis patients. This procedure is not free of complications: the SOURCE registry, indeed, showed that vascular complications are more frequent with the transfemoral approach. We present the case of an 82-year-old man with known history of severe aortic stenosis at high-risk for surgery. Pre-TAVI screening shows bilateral severely tortuous iliac arteries and aorto-bi-iliac endoprosthesis. Transapical TAVI as a first choice was rejected due to severe lung disease. The patient was then treated by Transfemoral TAVI using a dedicated interventional technique that is described in this case-report.