Transaortic transcatheter aortic valve replacement with the Sapien? valve and the first generations of Ascendra?.

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Serval ID
serval:BIB_8EDDE2398461
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 with the Sapien? valve and the first generations of Ascendra?.
Journal
European Journal of Cardio-thoracic Surgery
Author(s)
Ferrari E., Berdajs D., Tozzi P., Prêtre R.
ISSN
1010-7940
1873-734X (Electronic)
ISSN-L
1010-7940
Publication state
Published
Issued date
2014
Volume
45
Number
1
Pages
188-190
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Traditionally, the transcatheter aortic valve replacement is performed through a transapical, a transfemoral or a trans-subclavian approach. Recently, the transaortic approach for transcatheter aortic valve replacement through the distal part of the ascending aorta was successfully implemented in order to avoid peripheral vascular access-related complications and apical life-threatening haemorrhage. The Sapien? stent valve has great transaortic potential because it can be loaded 'upside down' in different generations of delivery systems. However, because of their health regulatory systems and despite the launch, in 2012, of the latest generation of the Ascendra? delivery system, the Ascendra+?, specifically designed for transapical and transaortic valve placements, several countries are still using the first generations of Ascendra? (Ascendra? 1 and 2). This device was specifically designed for transapical procedures, and retrograde stent-valve positioning through the stenotic aortic valve may be very challenging and risk the integrity of the aorta. We describe the manoeuvre required in order to pass the stenotic aortic valve safely in a retrograde direction using the Sapien? stent valve and the first generations of Ascendra?.
Pubmed
Web of science
Open Access
Yes
Create date
13/08/2013 15:16
Last modification date
25/09/2019 7:09
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