Key result
The iliac endoconduit technique enabled successful transfemoral transcatheter aortic valve implantation in a patient with prohibitory small-caliber, heavily calcified iliac arteries.
Why the study?
Does the iliac endoconduit technique allow successful transfemoral TAVI in a patient with prohibitory iliac anatomy?
Case Report (n=1)
No
Does the iliac endoconduit technique allow successful transfemoral TAVI in a patient with prohibitory iliac anatomy?
The iliac endoconduit technique may be a feasible and minimally invasive alternative to transapical access for transfemoral TAVI in patients with severe iliac artery calcification and small caliber.
Provides preliminary support for endoconduit use in complex iliac anatomy; leaves open the need for larger studies before clinical adoption.
Access challenges are sometimes encountered in patients who require transcatheter aortic valve implantation (TAVI). Transapical (TA) access is a well-established alternative, but it is more invasive than the standard transfemoral (TF) access techniques. We adopted the iliac endoconduit technique to perform TF TAVI in a patient with small-caliber, heavily calcified iliac arteries. This technique could provide an adequate access route for TAVI that is minimally invasive, even for patients with prohibitory iliac anatomy.
No takes yet. Share an insight, caveat, or question.
Murakami et al. (2018) conducted a case report in Severe aortic stenosis (n=1). Iliac endoconduit technique for TAVI was evaluated on Procedural success (valve implantation and stent graft patency). The iliac endoconduit technique enabled successful transfemoral transcatheter aortic valve implantation in a patient with prohibitory small-caliber, heavily calcified iliac arteries.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: