Simultaneous Transfemoral Aortic Valve Implantation and Endovascular Repair of Abdominal Aortic Aneurysm

Combined Transcatheter Aortic Valve Replacement and Endovascular Aortic Repair: A Transfemoral Approach Dilemma

“…Similarly, EVAR has become the primary treatment modality for an abdominal aortic aneurysm (AAA). A combined procedure offers a special challenge because of potential contrast-induced nephropathy [4] and physiologic and technical issues [5,6].…”

“…A successful TAVI was done on a patient with severe aortic stenosis with comorbidities including coexistent AAA, which was previously treated with EVAR [9]. In a combined procedure reported by Yanes-Bowden et al, EVAR was done before the TAVI for two reasons, namely; to avoid dissections that may be caused by advancing the stiff TAVI devices in a relatively tortuous aorta and to prevent aneurysmal rupture from the increased blood pressure following TAVI [5]. However, this technique needs extra precaution during deployment of the TAVI device over the stiff guide wire as it could deform or displace the aortic stent already in place.…”

Minimally Invasive Transcatheter Aortic Valve Replacement and Sequential Repair of Abdominal Aortic Aneurysm in an Octogenarian

“… 2 Simultaneous TAVR and EVAR cases have also been reported. 3 4 5 Unlike these reports, we used the local anesthesia during TAVR, suggesting coexistence of severe AS and AAA can be corrected by sequential interventions of minimally invasive TAVR and EVAR.…”