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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9025825 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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