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Percu-Ax aortic valve implantation with a double arm approach: a case report
BACKGROUND: Transaxillary route for structural and coronary percutaneous interventions represents a valid alternative access in patients with obstructive peripheral disease. Nevertheless, its widespread use is limited by a less manageable haemostasis procedure. CASE SUMMARY: In this case, we describ...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649516/ https://www.ncbi.nlm.nih.gov/pubmed/33204992 http://dx.doi.org/10.1093/ehjcr/ytaa225 |
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author | Trani, Carlo Aurigemma, Cristina Romagnoli, Enrico Burzotta, Francesco |
author_facet | Trani, Carlo Aurigemma, Cristina Romagnoli, Enrico Burzotta, Francesco |
author_sort | Trani, Carlo |
collection | PubMed |
description | BACKGROUND: Transaxillary route for structural and coronary percutaneous interventions represents a valid alternative access in patients with obstructive peripheral disease. Nevertheless, its widespread use is limited by a less manageable haemostasis procedure. CASE SUMMARY: In this case, we describe a minimalistic high-risk transcatheter aortic valve implantation (TAVI) procedure (TAVI Score 6.42%) conducted with a double arm approach (radial and axillary accesses) in an 88-year-old patient with severe aortic stenosis and multiple co-morbidities preventing both surgical (Society of Thoracic Surgeons mortality 7.9%) and percutaneous transfemoral approach (extensive peripheral artery disease). We also described the successful management of a complicated transaxillary haemostasis with this technique. DISCUSSION: In our cases, a minimalist double-arm approach was successfully used for TAVI procedure as an alternative to transfemoral approach assuring effective and safe management of vascular access haemostasis. |
format | Online Article Text |
id | pubmed-7649516 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-76495162020-11-16 Percu-Ax aortic valve implantation with a double arm approach: a case report Trani, Carlo Aurigemma, Cristina Romagnoli, Enrico Burzotta, Francesco Eur Heart J Case Rep Case Reports BACKGROUND: Transaxillary route for structural and coronary percutaneous interventions represents a valid alternative access in patients with obstructive peripheral disease. Nevertheless, its widespread use is limited by a less manageable haemostasis procedure. CASE SUMMARY: In this case, we describe a minimalistic high-risk transcatheter aortic valve implantation (TAVI) procedure (TAVI Score 6.42%) conducted with a double arm approach (radial and axillary accesses) in an 88-year-old patient with severe aortic stenosis and multiple co-morbidities preventing both surgical (Society of Thoracic Surgeons mortality 7.9%) and percutaneous transfemoral approach (extensive peripheral artery disease). We also described the successful management of a complicated transaxillary haemostasis with this technique. DISCUSSION: In our cases, a minimalist double-arm approach was successfully used for TAVI procedure as an alternative to transfemoral approach assuring effective and safe management of vascular access haemostasis. Oxford University Press 2020-10-16 /pmc/articles/PMC7649516/ /pubmed/33204992 http://dx.doi.org/10.1093/ehjcr/ytaa225 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Reports Trani, Carlo Aurigemma, Cristina Romagnoli, Enrico Burzotta, Francesco Percu-Ax aortic valve implantation with a double arm approach: a case report |
title | Percu-Ax aortic valve implantation with a double arm approach: a case report |
title_full | Percu-Ax aortic valve implantation with a double arm approach: a case report |
title_fullStr | Percu-Ax aortic valve implantation with a double arm approach: a case report |
title_full_unstemmed | Percu-Ax aortic valve implantation with a double arm approach: a case report |
title_short | Percu-Ax aortic valve implantation with a double arm approach: a case report |
title_sort | percu-ax aortic valve implantation with a double arm approach: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649516/ https://www.ncbi.nlm.nih.gov/pubmed/33204992 http://dx.doi.org/10.1093/ehjcr/ytaa225 |
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