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
Hauptverfasser: Bruschi, Giuseppe, Merlanti, Bruno, Colombo, Paola, Russo, Claudio F
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container_issue 6
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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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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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