Transaxillary transcatheter aortic valve implantation utilizing a novel vascular closure device with resorbable collagen material: a feasibility study
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Transaxillary transcatheter aortic valve implantation utilizing a novel vascular closure device with resorbable collagen material: a feasibility study. / Schaefer, Andreas; Schirmer, Johannes; Schofer, Niklas; Schneeberger, Yvonne; Deuschl, Florian; Blankenberg, Stefan; Reichenspurner, Hermann; Conradi, Lenard; Schäfer, Ulrich.
in: CLIN RES CARDIOL, Jahrgang 108, Nr. 7, 07.2019, S. 779-786.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Transaxillary transcatheter aortic valve implantation utilizing a novel vascular closure device with resorbable collagen material: a feasibility study
AU - Schaefer, Andreas
AU - Schirmer, Johannes
AU - Schofer, Niklas
AU - Schneeberger, Yvonne
AU - Deuschl, Florian
AU - Blankenberg, Stefan
AU - Reichenspurner, Hermann
AU - Conradi, Lenard
AU - Schäfer, Ulrich
PY - 2019/7
Y1 - 2019/7
N2 - OBJECTIVES: We herein aimed to evaluate technical feasibility of transaxillary (Tax) transcatheter aortic valve implantation (TAVI) utilizing a novel vascular closure device with a resorbable collagen plug and absence of suture material.METHODS: Between 05/2018 and 8/2018, eight patients (76.0 ± 5.9 years, 62.5% male, logEuroSCORE I 23.6 ± 4.7) received Tax-TAVI using the MANTA™ vascular closure device. Implanted transcatheter heart valves consisted of Edwards Sapien 3, NVT Allegra, Medtronic CoreValve EvolutR and SJM Portico.RESULTS: Puncture location depth was variable (3.5-7.5 cm). The left subclavian artery was used in five cases, the right subclavian artery in three cases. Low-pressure balloon-angioplasty for vessel closure was performed in 5/8 patients. VARC-2 defined device success was met in all patients. Major access site complication occurred in one patient with aneurysma spurium of the subclavian artery and consecutive stent implantation on postoperative day 5.CONCLUSION: The MANTA™ device is applicable in Tax-TAVI, with potential particular advantages regarding easiness of use and marked access for subsequent interventions in case of vascular complications. Before conclusions regarding clinical efficacy and safety can be made, the device has to be evaluated in larger patient cohorts.
AB - OBJECTIVES: We herein aimed to evaluate technical feasibility of transaxillary (Tax) transcatheter aortic valve implantation (TAVI) utilizing a novel vascular closure device with a resorbable collagen plug and absence of suture material.METHODS: Between 05/2018 and 8/2018, eight patients (76.0 ± 5.9 years, 62.5% male, logEuroSCORE I 23.6 ± 4.7) received Tax-TAVI using the MANTA™ vascular closure device. Implanted transcatheter heart valves consisted of Edwards Sapien 3, NVT Allegra, Medtronic CoreValve EvolutR and SJM Portico.RESULTS: Puncture location depth was variable (3.5-7.5 cm). The left subclavian artery was used in five cases, the right subclavian artery in three cases. Low-pressure balloon-angioplasty for vessel closure was performed in 5/8 patients. VARC-2 defined device success was met in all patients. Major access site complication occurred in one patient with aneurysma spurium of the subclavian artery and consecutive stent implantation on postoperative day 5.CONCLUSION: The MANTA™ device is applicable in Tax-TAVI, with potential particular advantages regarding easiness of use and marked access for subsequent interventions in case of vascular complications. Before conclusions regarding clinical efficacy and safety can be made, the device has to be evaluated in larger patient cohorts.
KW - Absorbable Implants
KW - Aged
KW - Aged, 80 and over
KW - Angiography
KW - Aortic Valve Stenosis/diagnosis
KW - Axillary Artery
KW - Collagen
KW - Equipment Design
KW - Feasibility Studies
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Imaging, Three-Dimensional
KW - Male
KW - Retrospective Studies
KW - Tomography, X-Ray Computed
KW - Transcatheter Aortic Valve Replacement/instrumentation
KW - Treatment Outcome
KW - Vascular Closure Devices
U2 - 10.1007/s00392-018-1407-z
DO - 10.1007/s00392-018-1407-z
M3 - SCORING: Journal article
C2 - 30560381
VL - 108
SP - 779
EP - 786
JO - CLIN RES CARDIOL
JF - CLIN RES CARDIOL
SN - 1861-0684
IS - 7
ER -