Demonstrates the feasibility of trans-aortic TAVI using the Edwards THV system when conventional routes are not possible.
Trans-aortic TAVI may be feasible when standard routes fail; leaves open the need for prospective safety data.
Trans-catheter aortic valve implantation is rapidly becoming an established modality of treatment for patients with critical aortic stenosis who are high risk for conventional aortic valve replacement. This approach also has its limitations; however, with growing experience and improvements in the delivery system, it may be possible to overcome these limitations. We describe a case where conventional trans-catheter approaches, that is, transfemoral or trans-apical using the Edwards THV system, were not possible but successful implantation was achieved through the trans-aortic route.
No takes yet. Share an insight, caveat, or question.
Bapat et al. (2010) studied this question.