Abstract
Methods Our group consisted of 35 inoperable patients presenting aortic valve disease unsuitable for transfemoral valve implantation due to extreme peripheral vessel disease. Data were prospectively collected and retrospectively analysed. Using an upper-J mini sternotomy access to the third intercostal space the ascending aorta was exposed. After placing two purse-strings on the ascending aorta at least 7 cm above annulus, the delivery system was inserted and advanced under fluoroscopy to the optimal position and the valve was deployed.
Highlights
Direct aortic approach is an attractive alternative technique for transcatheter aortic valve implantation in challenging patients
Our group consisted of 35 inoperable patients presenting aortic valve disease unsuitable for transfemoral valve implantation due to extreme peripheral vessel disease
After placing two purse-strings on the ascending aorta at least 7 cm above annulus, the delivery system was inserted and advanced under fluoroscopy to the optimal position and the valve was deployed. These results represent the initial experience of a single centre after adopting the direct aortic approach for TAVI as alternative to the transfemoral route
Summary
Direct aortic approach is an attractive alternative technique for transcatheter aortic valve implantation in challenging patients. Direct aortic approach for TAVI: a single centre experience H Amrane1*, F Porta1, S Head2, A van Boven3, A Kappetein1 From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia. Background Direct aortic approach is an attractive alternative technique for transcatheter aortic valve implantation in challenging patients.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
