August 31, 2009Catheterization and Cardiovascular Interventions
First trans‐axillary implantation of Edwards Sapien valve to treat an incompetent aortic bioprosthesis
Key result
Trans-axillary TAVR proves feasible for a severely regurgitant aortic bioprosthesis with a functioning LIMA graft.
- n=1
Why the study?
There are case reports of transcatheter aortic valves to treat dysfunctional aortic bioprostheses and case series of transaxillary CoreValve implantation, but no prior report of Edwards Sapien valve via transaxillary approach.
Comparison
Edwards Sapien 23 mm transcatheter valve implantation via left axillary artery
Design
Case report
Authors
Discussion
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Member takes
Implication
May expand access options for valve-in-valve TAVR; extends limited case experience but leaves open broader safety questions.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
1 patient with a functioning LIMA graft and a severely regurgitant Freestyle 23 mm aortic bioprosthesis.
I
Intervention
Implantation of an Edwards Sapien 23 mm transcatheter aortic valve through the left axillary artery
O
Outcome
Successful implantation
This case report demonstrates the feasibility of trans-axillary implantation of an Edwards Sapien valve for treating a dysfunctional aortic bioprosthesis in a patient with a functioning LIMA graft.
Cite This Study
Sharp et al. (2009) conducted a case report in Severely regurgitant aortic bioprosthesis (n=1). Edwards Sapien transcatheter aortic valve implantation through the left axillary artery was evaluated on Successful implantation. Trans-axillary implantation of an Edwards Sapien 23 mm transcatheter aortic valve was successfully performed in a patient with a severely regurgitant aortic bioprosthesis and functioning LIMA graft.