Key result
A modified trocar-free technique for suprasternal transcatheter aortic valve replacement provides a safe and easily reproducible alternative for patients with poor femoral access.
Why the study?
The suprasternal approach provides an alternative for TAVR in patients with unsuitable femoral arteries, prompting the description of a trocar-free technique.
Is the trocar-free suprasternal approach a safe and reproducible technique for TAVR in patients with unsuitable femoral arteries?
Is the trocar-free suprasternal approach a safe and reproducible technique for TAVR in patients with unsuitable femoral arteries?
A modified trocar-free suprasternal approach provides an alternative access route for TAVR in patients with unsuitable femoral arteries.
BACKGROUND AND AIM OF STUDY: Transcatheter aortic valve replacement is established as the standard treatment for severe aortic stenosis. Many approaches have been described, including the suprasternal technique, an alternative for patients with unsuitable femoral arteries. We now describe a trocar-free technique for the Suprasternal approach. METHODS AND RESULTS: Under endotracheal anesthesia, an incision is made above the manubrium and dissection is carried down to the innominate artery with adequate exposure for cannulation. Access site is closed with purse-string suture. The Suprasternal approach has relatively few contraindications. CONCLUSION: Our trocar-free technique is a safe and easily reproducible technique for TAVRs in patients with poor femoral access.
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Oliveira et al. (2022) studied Severe aortic stenosis. Trocar-free suprasternal transcatheter aortic valve replacement was evaluated. A modified trocar-free technique for suprasternal transcatheter aortic valve replacement provides a safe and easily reproducible alternative for patients with poor femoral access.
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