Transcatheter aortic valve implantation: alternative access options
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Transcatheter aortic valve implantation: alternative access options. / Schirmer, J; Conradi, L; Seiffert, M; Koschyk, D; Blankenberg, S; Reichenspurner, H; Diemert, P; Treede, H.
in: MINERVA CARDIOANGIOL , Jahrgang 61, Nr. 4, 08.2013, S. 429-435.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Transcatheter aortic valve implantation: alternative access options
AU - Schirmer, J
AU - Conradi, L
AU - Seiffert, M
AU - Koschyk, D
AU - Blankenberg, S
AU - Reichenspurner, H
AU - Diemert, P
AU - Treede, H
PY - 2013/8
Y1 - 2013/8
N2 - Calcific aortic valve stenosis represents the most common acquired valvular heart disease in adults. Transcatheter aortic valve implantation (TAVI) has been established as a widely accepted therapeutic option in elderly and multimorbid patients with severe aortic stenosis not amenable to conventional surgery. Retrograde transfemoral and antegrade transapical approaches are commonly used for implantation. However, there are a certain number of patients who are not candidates for either approach due to poor vascular access, severe pulmonary dysfunction or other prohibitive chest pathologies. Recently, different alternative access route options have been proposed and described. These alternative access routes include approaches via the subclavian/axillary artery, the ascending aorta, the carotid artery, and the brachiocephalic artery.
AB - Calcific aortic valve stenosis represents the most common acquired valvular heart disease in adults. Transcatheter aortic valve implantation (TAVI) has been established as a widely accepted therapeutic option in elderly and multimorbid patients with severe aortic stenosis not amenable to conventional surgery. Retrograde transfemoral and antegrade transapical approaches are commonly used for implantation. However, there are a certain number of patients who are not candidates for either approach due to poor vascular access, severe pulmonary dysfunction or other prohibitive chest pathologies. Recently, different alternative access route options have been proposed and described. These alternative access routes include approaches via the subclavian/axillary artery, the ascending aorta, the carotid artery, and the brachiocephalic artery.
KW - Adult
KW - Aorta
KW - Aortic Valve/surgery
KW - Aortic Valve Stenosis/surgery
KW - Axillary Artery
KW - Brachiocephalic Trunk
KW - Calcinosis/surgery
KW - Cardiac Catheterization/methods
KW - Carotid Arteries
KW - Endovascular Procedures/methods
KW - Fluoroscopy
KW - Heart Valve Prosthesis
KW - Heart Valve Prosthesis Implantation/methods
KW - Humans
KW - Radiography, Interventional
KW - Subclavian Artery
M3 - SCORING: Review article
C2 - 23846009
VL - 61
SP - 429
EP - 435
JO - MINERVA CARDIOANGIOL
JF - MINERVA CARDIOANGIOL
SN - 0026-4725
IS - 4
ER -