Antegrade Approach for TAVR With Total Occlusion of the Descending Aorta

作者：Levisay Justin P; Salinger Michael H; Feldman Ted^*

来源：Catheterization and Cardiovascular Interventions, 2014, 83(5): 824-830.

DOI：10.1002/ccd.25124

• aortic stenosis
• TAVR
• aortic valve replacement
• transseptal approach

The antegrade approach for aortic valve interventions is well known but has not been widely used for transcatheter aortic valve replacement (TAVR) procedures. We encountered a patient with no possibility of retrograde access due to a totally occluded abdominal aorta who had a failed attempt at apical TAVR. We describe antegrade TAVR despite occlusion of the abdominal aorta, with the arterial limb of the requisite veno-arterial loop created using bilateral arm access, a novel version of the previously described antegrade approach.

• 出版日期2014-4-1
• 单位西北大学