Key result
TAVR via a distal abdominal transaortic graft-conduit succeeds in an inoperable severe aortic stenosis patient.
Why the study?
Alternative access sites for TAVR are needed in patients with anatomical or physiologic constraints preventing transfemoral, transapical, and conventional transaortic approaches.
Case Report (n=1)
A distal abdominal transaortic approach via a synthetic graft-conduit is a feasible alternative access site for TAVR in patients with severe AS who have constraints preventing conventional access routes.
May offer alternative access in select inoperable TAVR patients; leaves open need for prospective validation before wider consideration.
Transcatheter aortic valve replacement (TAVR) via the transfemoral (TF), transapical (TA), or even the transaortic (TAO) approach in high-risk or inoperable patients is quickly becoming a safe and effective modality for the treatment of symptomatic severe aortic stenosis (AS). However, in this selected group of patients, those with anatomical or physiologic constraints preventing TF, TA, and conventional TAO TAVR, alternative sites of access must be explored. Here, we report a successful TAVR in an inoperable patient with severe AS using a distal abdominal TAO approach via a synthetic graft-conduit.
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Leucker et al. (2013) conducted a case report in Severe aortic stenosis (n=1). Transcatheter aortic valve replacement (TAVR) using a distal abdominal transaortic approach via a synthetic graft-conduit was evaluated on Procedural success. Transcatheter aortic valve replacement using a distal abdominal transaortic approach via a synthetic graft-conduit was successfully performed in an inoperable patient with severe aortic stenosis.
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