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Case Reports
. 2022 Apr;37(4):1038-1039.
doi: 10.1111/jocs.16239. Epub 2022 Jan 18.

Single access transfemoral transcatheter aortic valve implantation for challenging iliofemoral route

Marco Russo  1 , Antonio G Cammardella  1 , Vincenzo Polizzi  1 , Federico Ranocchi  1 , Francesco Musumeci  1
Affiliations
Case Reports

Single access transfemoral transcatheter aortic valve implantation for challenging iliofemoral route

Marco Russo et al. J Card Surg. 2022 Apr.

Abstract

Background: Optimal access for transcatheter aortic valve implantation is still a matter of debate. A tailored approach for patient anatomy is mandatory to reduce vascular complications and improve outcomes.

Aims: To optimize surgical technique in challenge scenario.

Material and methods: Here, we present a case of transfemoral transcatheter aortic valve replacement performed using single arterial access.

Results: A 92 years old patients affected by severe aortic stenosis showed no secondary arterial access. A single access approach was performed using the aortic valve calcification and the inferior margin of the second rib as lankdmarks for valve implantation.

Discussion and conclusions: Alternative options for TAVR are mandatory to deal with complex cases. The described technique is a simple and reproducible approach.

Keywords: cardiovascular pathology; valve repair/replacement.

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References

REFERENCES

    1. Mack M, Leon M, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med. 2019;380:1695-1705.
    1. Poschner T, Werner P, Kocher A, et al. The JenaValve pericardial transcatheter aortic valve replacement system to treat aortic valve disease. Future Cardiol. 2021. doi:10.2217/fca-2021-0065
    1. Hameed I, Oakley CT, Hameed NUF. Alternate accesses for transcatheter aortic valve replacement: a network meta-analysis. J Card Surg. 2021;36(11):4308-4319.

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