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Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning

Aortic stenosis is the most common primary valve lesion requiring surgery or, especially for older patients, transcatheter intervention (TAVI). We showcase a successful transfemoral TAVI procedure in a very high-risk patient and an extremely tortuous S-shaped descending aorta, characterized by heavy...

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Autores principales: Intorcia, Alfredo, Ambrosini, Vittorio, Capasso, Michele, Granata, Riccardo, Magliulo, Fabio, Carbone, Giannignazio Luigi, Capobianco, Stefano, Rotondi, Francesco, Lanni, Francesca, Manganelli, Fiore, Di Lorenzo, Emilio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025825/
https://www.ncbi.nlm.nih.gov/pubmed/35457629
http://dx.doi.org/10.3390/ijerph19084763
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author Intorcia, Alfredo
Ambrosini, Vittorio
Capasso, Michele
Granata, Riccardo
Magliulo, Fabio
Carbone, Giannignazio Luigi
Capobianco, Stefano
Rotondi, Francesco
Lanni, Francesca
Manganelli, Fiore
Di Lorenzo, Emilio
author_facet Intorcia, Alfredo
Ambrosini, Vittorio
Capasso, Michele
Granata, Riccardo
Magliulo, Fabio
Carbone, Giannignazio Luigi
Capobianco, Stefano
Rotondi, Francesco
Lanni, Francesca
Manganelli, Fiore
Di Lorenzo, Emilio
author_sort Intorcia, Alfredo
collection PubMed
description Aortic stenosis is the most common primary valve lesion requiring surgery or, especially for older patients, transcatheter intervention (TAVI). We showcase a successful transfemoral TAVI procedure in a very high-risk patient and an extremely tortuous S-shaped descending aorta, characterized by heavy calcifications and multiple strong resistance points. We demonstrated that transfemoral TAVI using the “buddy stiff guidewire” technique could be a feasible, simple, quick, and easy procedure able to straighten an extremely abdominal aorta tortuosity. With all techniques available and careful pre-procedural planning, and thanks to the flexibility of new generation TAVI delivery systems, it is possible to safely perform the procedure even in the most challenging patients.
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spelling pubmed-90258252022-04-23 Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning Intorcia, Alfredo Ambrosini, Vittorio Capasso, Michele Granata, Riccardo Magliulo, Fabio Carbone, Giannignazio Luigi Capobianco, Stefano Rotondi, Francesco Lanni, Francesca Manganelli, Fiore Di Lorenzo, Emilio Int J Environ Res Public Health Case Report Aortic stenosis is the most common primary valve lesion requiring surgery or, especially for older patients, transcatheter intervention (TAVI). We showcase a successful transfemoral TAVI procedure in a very high-risk patient and an extremely tortuous S-shaped descending aorta, characterized by heavy calcifications and multiple strong resistance points. We demonstrated that transfemoral TAVI using the “buddy stiff guidewire” technique could be a feasible, simple, quick, and easy procedure able to straighten an extremely abdominal aorta tortuosity. With all techniques available and careful pre-procedural planning, and thanks to the flexibility of new generation TAVI delivery systems, it is possible to safely perform the procedure even in the most challenging patients. MDPI 2022-04-14 /pmc/articles/PMC9025825/ /pubmed/35457629 http://dx.doi.org/10.3390/ijerph19084763 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Intorcia, Alfredo
Ambrosini, Vittorio
Capasso, Michele
Granata, Riccardo
Magliulo, Fabio
Carbone, Giannignazio Luigi
Capobianco, Stefano
Rotondi, Francesco
Lanni, Francesca
Manganelli, Fiore
Di Lorenzo, Emilio
Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning
title Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning
title_full Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning
title_fullStr Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning
title_full_unstemmed Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning
title_short Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning
title_sort management of transcatheter aortic valve implantation and complex aorta anatomy: the importance of pre-procedural planning
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025825/
https://www.ncbi.nlm.nih.gov/pubmed/35457629
http://dx.doi.org/10.3390/ijerph19084763
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