Key result
Transseptal TAVI via femoral veno-arterial loop achieves successful valve implantation and function at 6 months.
Why the study?
To describe an anterograde transseptal access approach for TAVI when transfemoral access alone is impossible due to a heavily calcified stenotic aortic valve.
Case Report (n=1)
No
A transseptal approach using a femoral veno-arterial loop is a feasible percutaneous alternative for TAVI when standard transfemoral access is impossible due to severe calcification.
Hypothesis-generating for transseptal TAVI with veno-arterial loop; should not change practice pending prospective studies.
After successful introduction of transcatheter aortic valve implantation (TAVI) in 2002, TAVI has become an increasingly accepted therapy for the treatment of severe aortic stenosis in patients judged to be at high risk for open heart surgery. We describe anterograde transseptal access for TAVI in a patient where transfemoral access alone was impossible to achieve due to a heavily calcified stenotic aortic valve. It is an interesting and alternative approach to achieve TAVI.
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Murielle Bertin (2020) conducted a case report in Severe aortic stenosis (n=1). Transcatheter Aortic Valve Implantation (TAVI) via transseptal approach using a femoral veno-arterial loop was evaluated on Successful valve implantation and patient outcome. TAVI was successfully performed using a transseptal approach with a femoral veno-arterial loop in a patient with severe aortic stenosis, resulting in a well-functioning valve at 6 months.
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