Transaortic transcatheter aortic valve replacement through a right minithoracotomy with the balloon-expandable Sapien 3 valve.

Details

Serval ID
serval:BIB_84DEDC2AD561
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Transaortic transcatheter aortic valve replacement through a right minithoracotomy with the balloon-expandable Sapien 3 valve.
Journal
Multimedia manual of cardiothoracic surgery : MMCTS
Author(s)
Ferrari E., Muller O., Demertzis S., Moccetti M., Moccetti T., Pedrazzini G., Eeckhout E.
ISSN
1813-9175 (Electronic)
ISSN-L
1813-9175
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
2016
Pages
1-6
Language
english
Notes
Publication types: Journal Article ; Video-Audio Media
Publication Status: epublish
Abstract
Transaortic transcatheter aortic valve replacement performed through a right anterolateral minithoracotomy at the second intercostal space is a safe and standardized minimally invasive procedure carrying important clinical advantages for the patient, in particular, no damage to the ventricular apex, preservation of the diseased peripheral arteries and no cross of the aortic arch with the delivery system, meaning a lower risk of calcium dislodgement and neurological complications. Using the third-generation, balloon-expandable Edwards Sapien™ 3 transcatheter heart valve and the Certitude™ delivery system, the transaortic procedure is easily performed under fluoroscopic and echocardiographic guidance. Compared with the transapical procedure, the transaortic technique requires an inversely mounted stent valve and follows the standard guidelines for valve positioning and deployment under rapid pacing. The transaortic approach through a right anterolateral minithoracotomy at the second intercostal space combines the positive aspects of both transfemoral and transapical valve replacements without the risks of either procedure (left ventricular, coronary and peripheral vascular injuries).

Keywords
Aortic Valve Stenosis/surgery, Cardiac Catheterization/methods, Humans, Prosthesis Design, Thoracotomy/methods, Transcatheter Aortic Valve Replacement/instrumentation, Transcatheter Aortic Valve Replacement/methods
Pubmed
Create date
14/07/2016 8:10
Last modification date
20/08/2019 14:44
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