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Review
. 2021 Apr 1;97(5):E743-E747.
doi: 10.1002/ccd.29196. Epub 2020 Aug 13.

Snuffbox approach for balloon aortic valvuloplasty: A case series

Annamaria Di Cesare  1 , Elisabetta Tonet  1 , Gianluca Campo  1   2 , Carlo Tumscitz  1
Affiliations
Review

Snuffbox approach for balloon aortic valvuloplasty: A case series

Annamaria Di Cesare et al. Catheter Cardiovasc Interv. .

Abstract

In the era of transcatheter aortic valve replacement (TAVR), the spectrum of indications for balloon aortic valvuloplasty is growing, especially in old and frail patients. Mini-invasive approaches via radial access reduce vascular complications and length of hospital stay. The snuffbox approach has never been described for Balloon aortic valvuloplasty (BAV). We performed a review of patients who underwent BAV using distal radial access between January 2019 and December 2019 in a single Italian Centre. All patients received a 30-day follow-up. The procedure was successfully conducted by anatomical snuffbox in all reported cases. All patients were mobilized within 10 h from the procedure without vascular access-related complications. Thirty-day color Doppler ultrasound showed distal radial artery patency in 89% of cases. In our case series, the snuffbox approach for balloon aortic valvuloplasty appeared to be safe and feasible. This approach could be a valid alternative especially in old and frail adults waiting for TAVR.

Keywords: aortic valve disease; brachial/radial/ulnar; catheterization; percutaneous intervention; transcatheter valve implantation..

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References

REFERENCES

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    1. Tumscitz C, Campo G, Tebaldi M, Gallo F, Pirani L, Biscaglia S. Safety and feasibility of transradial mini-Ivasive balloon aortic valvuloplasty. JACC Cardiovasc Interv. 2017;10(13):1374-1377.
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