Key result
Transapical TAVI with a 'no touch' aortic arch technique was successfully performed to avoid systemic embolism in a patient with severe aortic stenosis and complex aortic atherosclerosis.
A 'no touch' transapical TAVI approach without aortic arch manipulation can be utilized to minimize embolic risk in patients with severe aortic stenosis and complex aortic atherosclerosis.
May offer embolic protection in complex aortic atherosclerosis; hypothesis-generating case report requiring prospective validation.
We present the case of an 80-year-old woman diagnosed with severe aortic stenosis and complex aortic atherosclerotic plaques who underwent transapical TAVI guided by transesophageal echocardiography and fluoroscopy with no catheter/wire manipulation across the aortic arch to avoid any systemic embolism.
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Bagur et al. (2010) studied this question. Transapical TAVI with a 'no touch' aortic arch technique was successfully performed to avoid systemic embolism in a patient with severe aortic stenosis and complex aortic atherosclerosis.
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