Suprasternal transcatheter aortic valve replacement: Modified trocar-free technique

被引：2

作者：

de Oliveira, Guilherme C. ^{[1
]}

Kessel, Julia ^{[2
]}

Vavalle, John ^{[3
]}

Caranasos, Thomas ^{[1
]}

机构：

[1] Univ North Carolina Chapel Hill, Dept Surg, Chapel Hill, NC USA

[2] Univ North Carolina Chapel Hill, Sch Med, Chapel Hill, NC USA

[3] Univ North Carolina Chapel Hill, Dept Med, Chapel Hill, NC USA

来源：

JOURNAL OF CARDIAC SURGERY | 2022年 / 37卷 / 12期

关键词：

aorta and great vessels; cardiovascular research; valve repair/replacement; IMPLANTATION;

D O I：

10.1111/jocs.17117

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and aim of study: Transcatheter aortic valve replacement is established as the standard treatment for severe aortic stenosis. Many approaches have been described, including the suprasternal technique, an alternative for patients with unsuitable femoral arteries. We now describe a trocar-free technique for the Suprasternal approach. Methods and Results: Under endotracheal anesthesia, an incision is made above the manubrium and dissection is carried down to the innominate artery with adequate exposure for cannulation. Access site is closed with purse-string suture. The Suprasternal approach has relatively few contraindications. Conclusion: Our trocar-free technique is a safe and easily reproducible technique for TAVRs in patients with poor femoral access.

引用

页码：5663 / 5665

页数：3

共 9 条

[1] Transcatheter Aortic-Valve Replacement with a Self-Expanding Prosthesis [J].

Adams, David H. ;

Popma, Jeffrey J. ;

Reardon, Michael J. ;

Yakubov, Steven J. ;

Coselli, Joseph S. ;

Deeb, G. Michael ;

Gleason, Thomas G. ;

Buchbinder, Maurice ;

Hermiller, James, Jr. ;

Kleiman, Neal S. ;

Chetcuti, Stan ;

Heiser, John ;

Merhi, William ;

Zorn, George ;

Tadros, Peter ;

Robinson, Newell ;

Petrossian, George ;

Hughes, G. Chad ;

Harrison, J. Kevin ;

Conte, John ;

Maini, Brijeshwar ;

Mumtaz, Mubashir ;

Chenoweth, Sharla ;

Oh, Jae K. .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (19) :1790-1798

[2] Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis - First human case description [J].

Cribier, A ;

Eltchaninoff, H ;

Bash, A ;

Borenstein, N ;

Tron, C ;

Bauer, F ;

Derumeaux, G ;

Anselme, F ;

Laborde, F ;

Leon, MB .

CIRCULATION, 2002, 106 (24) :3006-3008

[3] Early outcomes of the suprasternal transcatheter aortic valve replacement technique [J].

de Oliveira, Guilherme C. ;

Kessel, Julia ;

Vavalle, John ;

Caranasos, Thomas .

JOURNAL OF CARDIAC SURGERY, 2022, 37 (08) :2360-2364

[4]

Kiser AC, 2018, INNOVATIONS, V13, P1, DOI 10.1097/IMI.0000000000000462

[5] Suprasternal Aortic Valve Replacement: Key Technology and Techniques [J].

Kiser, Andy C. ;

Caranasos, Thomas G. ;

Peterson, Mark D. ;

Buller, Christopher E. ;

Borger, Michael A. .

ANNALS OF THORACIC SURGERY, 2017, 104 (04) :1417-1422

[6] Suprasternal direct aortic approach transcatheter aortic valve replacement avoids sternotomy and thoracotomy: first-in-man experience [J].

Kiser, Andy C. ;

O'Neill, William W. ;

de Marchena, Eduardo ;

Stack, Richard ;

Zarate, Mauricio ;

Dager, Antonio ;

Reardon, Michael .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2015, 48 (05) :778-784

[7] Transcatheter Aortic-Valve Replacement for Inoperable Severe Aortic Stenosis [J].

Makkar, Raj R. ;

Fontana, Gregory P. ;

Jilaihawi, Hasan ;

Kapadia, Samir ;

Pichard, Augusto D. ;

Douglas, Pamela S. ;

Thourani, Vinod H. ;

Babaliaros, Vasilis C. ;

Webb, John G. ;

Herrmann, Howard C. ;

Bavaria, Joseph E. ;

Kodali, Susheel ;

Brown, David L. ;

Bowers, Bruce ;

Dewey, Todd M. ;

Svensson, Lars G. ;

Tuzcu, Murat ;

Moses, Jeffrey W. ;

Williams, Matthew R. ;

Siegel, Robert J. ;

Akin, Jodi J. ;

Anderson, William N. ;

Pocock, Stuart ;

Smith, Craig R. ;

Leon, Martin B. .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (18) :1696-1704

[8] Transcatheter versus Surgical Aortic-Valve Replacement in High-Risk Patients [J].

Smith, Craig R. ;

Leon, Martin B. ;

Mack, Michael J. ;

Miller, Craig ;

Moses, Jeffrey W. ;

Svensson, Lars G. ;

Tuzcu, E. Murat ;

Webb, John G. ;

Fontana, Gregory P. ;

Makkar, Raj R. ;

Williams, Mathew ;

Dewey, Todd ;

Kapadia, Samir ;

Babaliaros, Vasilis ;

Thourani, Vinod H. ;

Corso, Paul ;

Pichard, Augusto D. ;

Bavaria, Joseph E. ;

Herrmann, Howard C. ;

Akin, Jodi J. ;

Anderson, William N. ;

Wang, Duolao ;

Pocock, Stuart J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (23) :2187-2198

[9] Transapical minimally invasive aortic valve implantation - Multicenter experience [J].

Walther, Thomas ;

Simon, Paul ;

Dewey, Todd ;

Wimmer-Greinecker, Gerhard ;

Falk, Volkmar ;

Kasimir, Marie T. ;

Doss, Mirko ;

Borger, Michael A. ;

Schuler, Gerhard ;

Glogar, Dietmar ;

Fehske, Wolfgang ;

Wolner, Ernst ;

Mohr, Friedrich W. ;

Mack, Michael .

CIRCULATION, 2007, 116 (11) :I240-I245

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