Transcatheter Aortic Valve Implantation through the Ascending Aorta: An Alternative Option for No-Access Patients

Authors

  • Robert Bauernschmitt
  • Christian Schreiber
  • Sabine Bleiziffer
  • Hendrik Ruge
  • Domenico Mazzitelli
  • Andrea Hutter
  • Peter Tassani
  • Rüdiger Lange

DOI:

https://doi.org/10.1532/HSF98.20081112

Abstract

Retrograde transcatheter aortic valve implantation (TAVI) was successfully performed in an 80-year-old woman who had critical aortic stenosis but had no conventional access available because of severe calcifications of the femoral, iliac, and subclavian arteries. The TAVI procedure was performed with the CoreValve ReValving System. The currently available results obtained with TAVI show that such approaches provide significant clinical improvement in patients with severe aortic stenosis and unacceptable risk or contraindications for surgery. The ascending aorta approach might help to expand the implantation possibilities for those patients for whom the typical access sites are not available.

References

Usui A, Tajma K, Nishikimi N, Ishiguchi T. 1999. Implantation of an endovascular covered stent-graft for distal aortic arch aneurysm via mid-sternotomy under pigtail catheter guidance. Eur J Cardiothorac Surg 16:356-58.nVahanian A, Alfieri O, Al-Attar N, et al. 2008. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J 29:1463-70.nVendramin I, Piccoli G, Gasparini D, Livi U. 2007. Right minithoracotomy as an alternative approach for endovascular repair of thoracic aortic aneurysm. J Thorac Cardiovasc Surg 134:1589-91.nWalther T, Falk V, Kempfert J, et al. 2008. Transapical minimally invasive aortic valve implantation; the initial 50 patients. Eur J Cardiothorac Surg 33:983-88.nWebb JG, Pasupati S, Humphries K, et al. 2007. Percutaneous transarterial aortic valve replacement in selected high-risk patients with aortic stenosis. Circulation 116:755-63.n

Published

2009-02-20

How to Cite

Bauernschmitt, R., Schreiber, C., Bleiziffer, S., Ruge, H., Mazzitelli, D., Hutter, A., Tassani, P., & Lange, R. (2009). Transcatheter Aortic Valve Implantation through the Ascending Aorta: An Alternative Option for No-Access Patients. The Heart Surgery Forum, 12(1), E63-E64. https://doi.org/10.1532/HSF98.20081112

Issue

Section

Article