Antegrade approach for TAVR with total occlusion of the descending aorta. Catheter Cardiovasc Interv 2014 Apr 01;83(5):824-30
Date
07/17/2013Pubmed ID
23857738DOI
10.1002/ccd.25124Scopus ID
2-s2.0-84899013570 (requires institutional sign-in at Scopus site) 1 CitationAbstract
The antegrade approach for aortic valve interventions is well known but has not been widely used for transcatheter aortic valve replacement (TAVR) procedures. We encountered a patient with no possibility of retrograde access due to a totally occluded abdominal aorta who had a failed attempt at apical TAVR. We describe antegrade TAVR despite occlusion of the abdominal aorta, with the arterial limb of the requisite veno-arterial loop created using bilateral arm access, a novel version of the previously described antegrade approach.
Author List
Levisay JP, Salinger MH, Feldman TMESH terms used to index this publication - Major topics in bold
AgedAorta, Abdominal
Aortic Diseases
Aortic Valve Stenosis
Aortography
Arterial Occlusive Diseases
Balloon Valvuloplasty
Cardiac Catheterization
Heart Valve Prosthesis Implantation
Humans
Male
Radiography, Interventional
Severity of Illness Index
Tomography, X-Ray Computed
Treatment Outcome