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

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• 作者：Eduardo Alegrí ; a-Barrero^a ; ^{eduar.alegria@gmail.com} ; Pak Hei Chan^a ; Carlo Di Mario^a ; Neil E. Moat^b
• 关键词：Aortic stenosis ; Transcatheter aortic valve implantation ; Direct aortic approach
• 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：201.e5-201.e7
• 文件大小：646 K

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 withno suitable peripheral access due to peripheral vascular disease (PVD) for TAVI. Direct aortic approachvia 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.