Percutaneous aortic valve replacement in patients with challenging aortoiliofemoral access
- 16 September 2008
- journal article
- case report
- Published by Wiley in Catheterization and Cardiovascular Interventions
- Vol. 72 (6), 885-890
- https://doi.org/10.1002/ccd.21630
Abstract
Percutaneous aortic valve replacement (PAVR) offers considerable promise in treating high risk patients with aortic valve disease. Two devices are currently clinically available for transfemoral delivery: the Edwards‐Sapien balloon‐expandable bioprosthesis and the Corevalve self‐expanding bioprosthesis, both of which require careful sizing of the peripheral vasculature. Through a case based discussion, we illustrate that these limits of PAVR technology can be stretched in cases of extraordinary clinical need. We demonstrate that, following a learning curve of “optimal cases,” successful PAVR is also possible in diffusely diseased peripheries of borderline small size or with focal aortoiliofemoral disease amenable to a separate intervention beforehand.Keywords
This publication has 16 references indexed in Scilit:
- First Successful Transapical Aortic Valve Implantation with the Corevalve Revalving™ System: A Case ReportThe Heart Surgery Forum, 2007
- Transapical Minimally Invasive Aortic Valve ImplantationCirculation, 2007
- Six-month outcome of transapical transcatheter aortic valve implantation in the initial seven patientsEuropean Journal of Cardio-Thoracic Surgery, 2007
- Fatal ischemic stroke related to nonpermissive peripheral artery access for percutaneous aortic valve replacementCatheterization and Cardiovascular Interventions, 2006
- Percutaneous Implantation of the CoreValve Self-Expanding Valve Prosthesis in High-Risk Patients With Aortic Valve DiseaseCirculation, 2006
- Transapical Transcatheter Aortic Valve Implantation in HumansCirculation, 2006
- Treatment of Calcific Aortic Stenosis With the Percutaneous Heart ValveJournal of the American College of Cardiology, 2006
- Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery?European Heart Journal, 2005
- Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patientsEuropean Journal of Cardio-Thoracic Surgery, 1999
- Transluminal Treatment of Arteriosclerotic ObstructionCirculation, 1964