Graft-Free surgical retroperitoneal vascular access as bail-out technique for failed percutaneous approach to transcatheter aortic valve replacement

Barbash, Israel M.; Ben‐Dor, Itsik; Dvir, Danny; Akbari, Cameron M.; Okubagzi, Petros; O’Donnell, Sean D.; Ricotta, John J.; Beavers, Frederick P.; Momin, Takki A.; Satler, Lowell F.; Pichard, Augusto D.; Waksman, Ron

doi:10.1016/j.carrev.2012.09.005

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…60 Other alternative access routes that have been described include a carotid access 61 as well as a surgical cut down to the common iliac arteries. 62 Since randomized controlled trials comparing access routes are still awaited, larger clinical trials are necessary to specify the role of the different approaches for TAVR.…”

Section: Access Routesmentioning

confidence: 99%

Transcatheter aortic valve replacement

Damberg¹,

Benstoem²,

Autschbach³

et al. 2013

RRCC

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Abstract:The standard treatment for symptomatic severe aortic valve stenosis is surgical aortic valve replacement. Over the last decade, transcatheter aortic valve replacement has emerged as an option for patients judged inoperable. It might also constitute an alternative for high-risk patients, even though which patients might benefit from this approach is still being discussed and remains controversial. Transcatheter heart valve replacement is a rapidly spreading technology. However, a number of problems still need to be addressed, such as paravalvular regurgitation, stroke rate, and postoperative conduction disturbances. Further, the durability of transcatheter heart valves remains unclear. Randomized clinical trials and long-term follow-up will help define the role of transcatheter heart valve replacement in aortic stenosis therapy.

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Section: Access Routesmentioning

confidence: 99%

Transcatheter aortic valve replacement

Damberg¹,

Benstoem²,

Autschbach³

et al. 2013

RRCC

View full text Add to dashboard Cite

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Modified transiliac artery approach for transcatheter aortic valve implantation

Kuwabara

Yoshitake

Okamoto

et al. 2016

Cardiovasc Interv and Ther

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We present a safe and effective method of transcatheter aortic valve implantation using an artificial graft anastomosed to the common iliac artery. A 10-mm woven polyethylene terephthalate graft is anastomosed to the common iliac artery. A guide wire and an expandable sheath are inserted through the graft, and bleeding from the puncture site is controlled by three tourniquets circled around the graft. Using this technique, we can bring the graft outside of the retroperitoneal space, allowing easy manipulation of the guide-wire and sheath, unimpeded by the constraints of the deep and narrow retroperitoneal space.

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