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

Cardiovasc Revasc Med. 2012 May-Jun;13(3):201.e5-7. doi: 10.1016/j.carrev.2011.12.004. Epub 2012 Feb 14.

Abstract

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Aorta*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / therapy*
  • Aortography / methods
  • Cardiac Catheterization* / instrumentation
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Peripheral Arterial Disease / complications*
  • Peripheral Arterial Disease / diagnostic imaging
  • Prosthesis Design
  • Severity of Illness Index
  • Tomography, X-Ray Computed
  • Treatment Outcome