Abstract
ABSTRACT Transcatheter aortic valve replacement is indicated as an alternative to conventional surgical treatment for elderly patients with low, moderate, and high surgical risk, or as the best therapeutic strategy for patients considered inoperable. The transfemoral vascular access is the preferred route for replacement. However, in a small portion of the population, this access is not possible for anatomical reasons. Access through the brachiocephalic trunk may be an option in specific cases. Nevertheless, data on feasibility and safety of this [...]
Highlights
Transcatheter aortic valve replacement (TAVR) in patients with significant aortic stenosis (AS) is indicated as an alternative to conventional surgical treatment for elderly patients with low, moderate, and high surgical risk, or as the best therapeu tic strategy for patients considered inoperable.[1]
In a 7-month follow-up, remains asymptomatic and with stable echocardiographic result. This case series reports an initial experience in Brazil, with suprasternal access by dissection and arterial punctu re, under direct visualization of the brachiocephalic trunk
We present three cases in which self-expanding prosthetic valve replacement was technically successful
Summary
Eduardo França Pessoa de Melo1iD, Fernando Moraes Neto[1], José Breno de Sousa Neto[1], Leonardo Viana de Brito[1], Carlos Eduardo Gordilho Santos[1], José Breno de Sousa Filho[1]. How to cite this article: Pessoa de Melo EF, Moraes Neto F, Sousa Neto JB, Brito LV, Santos CE, Sousa Filho JB. Transcatheter aortic valve replacement - initial experience with alternative access via brachiocephalic trunk. The transfemoral vascular access is the preferred route for replacement. This report describes an initial experience with suprasternal brachiocephalic access through dissection and arterial puncture under direct visualization. O acesso pelo tronco braquiocefálico pode ser uma alternativa em casos específicos. O presente relato demonstra uma experiência inicial com o acesso braquiocefálico supraesternal por dissecção e punção arterial sob visualização direta.
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