Transcatheter Aortic Valve Implantation through the Ascending Aorta: An Alternative Option for No-Access Patients
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Key result
Transcatheter aortic valve implantation via the ascending aorta was successfully performed in a patient with no conventional access, resulting in only a trace of aortic insufficiency and no stenosis.
Why the study?
Can transcatheter aortic valve implantation be successfully performed through the ascending aorta in patients with critical aortic stenosis and no conventional access?
Population
80-year-old woman with critical aortic stenosis and no conventional access available because of severe…
Design
Case_report
Authors
Discussion
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Implication
May expand TAVI options in no-access cases; hypothesis-generating and requires prospective validation.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
Can transcatheter aortic valve implantation be successfully performed through the ascending aorta in patients with critical aortic stenosis and no conventional access?
P
Population
An 80-year-old woman with critical aortic stenosis and no conventional access available due to severe calcifications underwent TAVI via the ascending aorta.
I
Intervention
Retrograde transcatheter aortic valve implantation (TAVI) through the ascending aorta using the CoreValve ReValving System
O
Outcome
Procedural success
TAVI through the ascending aorta is a feasible alternative for patients with severe aortic stenosis who lack conventional access sites.
Cite This Study
Bauernschmitt et al. (2009) conducted a case report in Critical aortic stenosis (n=1). Transcatheter aortic valve implantation (TAVI) via the ascending aorta was evaluated on Procedural success and valve function. Transcatheter aortic valve implantation via the ascending aorta was successfully performed in a patient with no conventional access, resulting in only a trace of aortic insufficiency and no stenosis.
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