Safety and effectiveness of the transsubclavian approach for transcatheter aortic valve implantation with the 14-F CoreValve Evolut R device

被引：8

作者：

Anselmi, Amedeo ^{[1
,4
]}

Tomasi, Jacques ^{[1
,4
]}

Giardinelli, Francesco ^{[1
]}

Bedossa, Marc ^{[2
]}

Rosier, Sebastien ^{[3
]}

Verhoye, Jean Philippe ^{[1
,4
]}

机构：

[1] Univ Rennes 1, Div Thorac & Cardiovasc Surg, Rennes, France

[2] Univ Rennes 1, Div Cardiol, Rennes, France

[3] Univ Rennes 1, Div Cardiac Anesthesia, Pontchaillou Univ Hosp, Rennes, France

[4] Univ Rennes 1, INSERM U1099, LTSI, Rennes, France

来源：

JOURNAL OF CARDIOVASCULAR MEDICINE | 2018年 / 19卷 / 11期

关键词：

aortic valve; complications; left; outcome analysis; stenosis; subclavian artery; TRANSAORTIC APPROACH; SYSTEM; ACCESS;

D O I：

10.2459/JCM.0000000000000706

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims In addition to the transfemoral route, common approaches for transcatheter aortic valve implantation (TAVI) are the transapical and transaortic ones. Yet, these are associated with morbidity. The transsubclavian approach (TSA) is an alternative to minimize invasiveness. Methods Fifteen consecutive patients underwent TAVI via TSA using the CoreValve Evolut R. The 14F delivery system without sheath was directly introduced into the artery. Results Success was 100%; contrast volume was 99.4W29.58 ml. Patients were extubated after 1.66W0.89 h. Hemoglobin drop was 0.64W0.28 g/dl. There were no complications. Hospital stay was 4.53W1.24 days: 11 patients were discharged home, the remainder to rehabilitation. Conclusion TSA is associated with limited morbidity, early patient mobilization, short hospitalization.

引用

页码：664 / 668

页数：5

共 18 条

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