Evolut R implantation via the brachial artery
Transfemoral transcatheter aortic valve implantation is an established therapy to treat elderly patients affected by severe aortic stenosis, who are considered to be at high or extreme risk for surgical aortic valve replacement. The transfemoral approach is contraindicated in patients with severe pe...
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Veröffentlicht in: | European journal of cardio-thoracic surgery 2018-12, Vol.54 (6), p.1137-1139 |
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container_title | European journal of cardio-thoracic surgery |
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creator | Bruschi, Giuseppe Merlanti, Bruno Colombo, Paola Russo, Claudio F |
description | Transfemoral transcatheter aortic valve implantation is an established therapy to treat elderly patients affected by severe aortic stenosis, who are considered to be at high or extreme risk for surgical aortic valve replacement. The transfemoral approach is contraindicated in patients with severe peripheral artery disease, small vessel size or severe tortuosity. In these patients, other vascular access routes such as transapical, subclavian or direct-aortic access may be considered. We describe the first case of a Medtronic Evolut R (Medtronic, Minneapolis, MN, USA) implantation made through the brachial artery in a 75-year-old patient affected by severe aortic stenosis. |
doi_str_mv | 10.1093/ejcts/ezy201 |
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The transfemoral approach is contraindicated in patients with severe peripheral artery disease, small vessel size or severe tortuosity. In these patients, other vascular access routes such as transapical, subclavian or direct-aortic access may be considered. We describe the first case of a Medtronic Evolut R (Medtronic, Minneapolis, MN, USA) implantation made through the brachial artery in a 75-year-old patient affected by severe aortic stenosis.</description><subject>Aged</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Brachial Artery - surgery</subject><subject>Female</subject><subject>Heart Valve Prosthesis</subject><subject>Humans</subject><subject>Transcatheter Aortic Valve Replacement - methods</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9LwzAUx4Mobk5vnqVHD9blNUmTHGXMHzAQRMFbeE1T1tGuM0kH219vddPTe4cPH758CLkGeg9Us6lb2Rimbr_LKJyQMSjJUsn45-nwU6Cp1JyOyEUIK0ppzjJ5TkaZHqhcqzFJ59uu6WPyltTtpsF1xFh362RbYxKXLik82mWNTYI-Or-7JGcVNsFdHe-EfDzO32fP6eL16WX2sEgty3RMUVmgQgtVCQGKigIFFAVzoDTnAkoEhSKHUmIuGMrS5pyXsuBagsSsqtiE3B68G9999S5E09bBumYY6Lo-mIwKoLkadAN6d0Ct70LwrjIbX7fodwao-QlkfgOZQ6ABvzma-6J15T_8V4R9AxJ-YY4</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Bruschi, Giuseppe</creator><creator>Merlanti, Bruno</creator><creator>Colombo, Paola</creator><creator>Russo, Claudio F</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20181201</creationdate><title>Evolut R implantation via the brachial artery</title><author>Bruschi, Giuseppe ; Merlanti, Bruno ; Colombo, Paola ; Russo, Claudio F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-a8c105958f551805ba51bb3e1894451da18a561d7a653a7dc644d7b49717a2ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Brachial Artery - surgery</topic><topic>Female</topic><topic>Heart Valve Prosthesis</topic><topic>Humans</topic><topic>Transcatheter Aortic Valve Replacement - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bruschi, Giuseppe</creatorcontrib><creatorcontrib>Merlanti, Bruno</creatorcontrib><creatorcontrib>Colombo, Paola</creatorcontrib><creatorcontrib>Russo, Claudio F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bruschi, Giuseppe</au><au>Merlanti, Bruno</au><au>Colombo, Paola</au><au>Russo, Claudio F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evolut R implantation via the brachial artery</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>54</volume><issue>6</issue><spage>1137</spage><epage>1139</epage><pages>1137-1139</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><abstract>Transfemoral transcatheter aortic valve implantation is an established therapy to treat elderly patients affected by severe aortic stenosis, who are considered to be at high or extreme risk for surgical aortic valve replacement. 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source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
subjects | Aged Aortic Valve - surgery Aortic Valve Stenosis - surgery Brachial Artery - surgery Female Heart Valve Prosthesis Humans Transcatheter Aortic Valve Replacement - methods |
title | Evolut R implantation via the brachial artery |
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