Nontransfemoral access alternatives for transcatheter aortic valve replacement
نویسنده
چکیده
Transcatheter aortic valve replacement has been available to treat aortic valve disease for just over a decade and in that time, its use has expanded rapidly around the world. All transcatheter aortic valve replacement procedures depend on having safe remote access to the aortic valve. If femoral access is not feasible or safe, nonfemoral access routes are imperative. This article will discuss the commonly used nonfemoral access routes and how they are achieved.
منابع مشابه
Peripheral Artery Disease and Transcatheter Aortic Valve Replacement Outcomes: A Report From the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Therapy Registry.
BACKGROUND Peripheral artery disease (PAD) is associated with increased cardiovascular mortality, and PAD risk factors overlap with those for aortic stenosis. The prevalence and outcomes associated with PAD in a population undergoing transcatheter aortic valve replacement (TAVR) are unknown. METHODS AND RESULTS Using the Society of Thoracic Surgeons/Transcatheter Valve Therapy Registry linked...
متن کاملTranscatheter Aortic Valve Replacement: A Review Article
Transcatheter aortic valve replacement (TAVR) is a novel therapeutic intervention for the replacement of severely stenotic aortic valves in high-risk patients for standard surgical procedures. Since the initial PARTNER trial results, use of TAVR has been on the rise each year. New delivery methods and different valves have been developed and modified in order to promote the minimally invasive p...
متن کاملIncidence, Predictive Factors, and Effect of Delirium After Transcatheter Aortic Valve Replacement.
OBJECTIVES The purpose of this study was to investigate the incidence, predictive factors, and effect of post-operative delirium (POD) among patients treated by transcatheter aortic valve replacement (TAVR). BACKGROUND Patients undergoing operations that involve valve replacement appear at higher risk of POD than patients subjected to coronary artery bypass surgery alone. In patients with sev...
متن کاملTranscatheter Aortic Valve Implantation: Review of Current Indications, Approaches, Future Insights, and Alternatives
The use of transcatheter aortic valve implantation is increasing worldwide, with rapid development of new generations of valves and the search for alternative access for implantation. The aim of this review is to summarise current approaches and indications, and to discuss some of the controversies surrounding
متن کاملPercutaneous aortic valve replacement.
Aortic valve replacement can produce dramatic benefit in the setting of aortic stenosis. The potential for morbidity and mortality associated with thoracotomy, cardiopulmonary bypass, and aortotomy has fostered a search for alternatives. Early experience with transcatheter endovascular aortic valve implantation demonstrated feasibility and durability, but the procedure was difficult to reproduc...
متن کامل