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

Détails

ID Serval
serval:BIB_84DEDC2AD561
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Transaortic transcatheter aortic valve replacement through a right minithoracotomy with the balloon-expandable Sapien 3 valve.
Périodique
Multimedia manual of cardiothoracic surgery : MMCTS
Auteur(s)
Ferrari E., Muller O., Demertzis S., Moccetti M., Moccetti T., Pedrazzini G., Eeckhout E.
ISSN
1813-9175 (Electronic)
ISSN-L
1813-9175
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
2016
Pages
1-6
Langue
anglais
Notes
Publication types: Journal Article ; Video-Audio Media
Publication Status: epublish
Résumé
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).

Mots-clé
Aortic Valve Stenosis/surgery, Cardiac Catheterization/methods, Humans, Prosthesis Design, Thoracotomy/methods, Transcatheter Aortic Valve Replacement/instrumentation, Transcatheter Aortic Valve Replacement/methods
Pubmed
Création de la notice
14/07/2016 9:10
Dernière modification de la notice
03/03/2018 18:55
Données d'usage