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November 25, 2009Catheterization and Cardiovascular Interventions

Transaortic transcatheter aortic valve implantation: A novel approach for the truly “no‐access option” patients

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Why the study?

Does transaortic TAVI provide a safe and effective alternative in patients with severe aortic stenosis and no peripheral access options?

Population

2 women with severe aortic valve stenosis and severe peripheral arterial occlusive disease, with absolutely…

Design

Case_series

Follow-up

Until hospital discharge (7 and 9 days)

Authors

GLGeorge LatsiosUGUlrich GerckensEGEberhard Grube

Discussion

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Overview

May offer option for severe AS without peripheral access; leaves open need for prospective validation.

Structured PICO

Does transaortic TAVI provide a safe and effective alternative in patients with severe aortic stenosis and no peripheral access options?

P
Population
2 women (aged 93 and 84 years) with severe aortic valve stenosis and severe peripheral arterial occlusive disease (PAOD), with absolutely no option for peripheral artery access.
I
Intervention
Transaortic transcatheter aortic valve implantation (TAVI) using the Medtronic CoreValve prosthesis via ministernotomy and direct puncture of the ascending aorta (off-pump, without IABP).
O
Outcome
Procedural safety and efficacy (including transvalvular gradient, mortality, stroke, and myocardial infarction).safety

A minimally invasive transaortic approach for TAVI is a feasible and safe alternative for patients with severe aortic stenosis who lack peripheral access options.

Cite This Study

Latsios et al. (2009) studied this question.

synapsesocial.com/papers/6a87f128dd9075da50bbed14https://doi.org/10.1002/ccd.22378
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