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'Double-Stick' Transsubclavian Transcatheter Aortic Valve Replacement With Use of a Balloon Expandable Valve: A Less Invasive Option for Alternative Access
- Source :
- The Annals of Thoracic Surgery. 104:e195-e197
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Access options for transcatheter aortic valve replacement (TAVR) currently include transfemoral, transaortic, transapical, transsubclavian, and other approaches. Transsubclavian access for balloon expandable valves is gaining popularity when transfemoral access is not suitable, given its peripheral access compared with central access. With the transsubclavian approach, second femoral or radial artery access is necessary for pigtail catheter placement. We describe a "double-stick" transsubclavian technique that eliminates secondary arterial access. With this technique, the transsubclavian approach can still be used in patients with advanced femoral disease, and it allows for rapid ambulation in most patients.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Transcatheter aortic
medicine.medical_treatment
Less invasive
030204 cardiovascular system & hematology
Prosthesis Design
Transcatheter Aortic Valve Replacement
03 medical and health sciences
0302 clinical medicine
Valve replacement
medicine.artery
medicine
Humans
In patient
030212 general & internal medicine
Radial artery
business.industry
Aortic Valve Stenosis
Pigtail catheter
Surgery
Balloon expandable stent
Aortic Valve
Heart Valve Prosthesis
Aortic valve surgery
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 104
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....29aef70019a88b10dcd1713cb0096a1d