Transcatheter aortic valve implantation in patients with unruptured aortic root pseudoaneurysm: an observational study

Chiocchi, Marcello; Pugliese, Luca; D’Errico, Francesca; Tosto, Federica Di; Cerimele, Cecilia; Pasqualetto, Monia; Stasio, Vincenzo De; Presicce, Matteo; Spiritigliozzi, Luigi; Donna, Carlo Di; Benelli, Leonardo; Sbordone, Francesco Paolo; Grimaldi, Francesco; Cammalleri, Valeria; Vico, Pasquale De; Muscoli, Saverio; Romeo, Alessia; Vanni, Gianluca; Romeo, Francesco; Floris, Roberto; Garaci, Francesco; Luozzo, Marco Di

doi:10.2459/jcm.0000000000001253

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Some studies have reported on the adoption of techniques such as a placement of a stent graft and transcatheter aortic valve implantation and the use of occluder devices vascular plugs to exclude pseudoaneurysm (7,8). However, little information on whether endovascular therapy is suitable for progressive pseudoaneurysm patients is available (9).…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report

Fan

Liu

et al. 2023

Front. Cardiovasc. Med.

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Ascending aortic pseudoaneurysm (AAP) is rare but may cause life-threatening complications. Although the placement of a stent graft and the use of occluder devices and vascular plugs to exclude pseudoaneurysm are adopted for some patients, the management of progressive pseudoaneurysms that may rupture at any time remains a challenge that needs to be addressed. In this study, we present the case of a patient with an AAP that was caused by aortic and mitral valve replacement for the giant left ventricle. Aortic pseudoaneurysm was suspected on the basis of a spherical cystic echo (70 × 80 mm) of the ascending aorta; this pseudoaneurysm was detected by an ultrasonic cardiogram, and the diagnosis was confirmed by an aortic computed tomography angiography (CTA) examination. To prevent the unexpected rupture of a progressive pseudoaneurysm, our patient was treated with a 28- mm ASD occluder without any procedural complications. Our patient has a good prognosis, which will inspire clinicians to choose minimally invasive procedures when dealing with such high-risk cases in emergency situations.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report

Fan

Liu

et al. 2023

Front. Cardiovasc. Med.

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“…A preoperative multislice computed tomography scan (MSCT) is generally performed to assess the valve complex, define the access site, and avoid complications [ 6 , 7 ] ( Figure 1 ). So far, several alternative access routes for antegrade or retrograde TAVI procedures have been described, namely the transfemoral, transaortic, transapical, transcarotid and transaxillary access routes [ 8 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…A preoperative multislice computed tomography scan (MSCT) is generally performed to assess the valve complex, define the access site, and avoid complications [6,7] (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

The Transaxillary Route as a Second Access Option in TAVI Procedures: Experience of a Single Centre

Muscoli

Cammalleri

Bonanni

et al. 2022

IJERPH

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Background: The aim of our study was to determine the feasibility and efficacy of transaxillary (TAX) TAVI in patients not eligible for the transfemoral route. Methods: This is a retrospective study of a single center. We analysed 262 patients treated with TAVI. In 17 patients (6.5%), the procedure was performed with the TAX approach. Procedural and hospital data, 30-day safety, and clinical efficacy were assessed and compared between the transfemoral and TAX groups. Results: In the TAX groups, we found a higher prevalence of men (p = 0.001), smokers (p = 0.033), and previous strokes (p = 0.02). The EUROSCORE II was higher in the TAX group (p = 0.014). The success rate of the device was 100%. TAX was associated with a longer procedure time (p = 0.001) and shorter median device time (p = 0.034) in minutes. Patients treated with TAX had a longer hospital stay (p = 0.005) and higher overall bleeding rate (p = 0.001). Peripheral neurological complications were more frequent with TAX (p = 0.001), which almost completely resolved by 30 days. Conclusions: TAX TAVI is safe and effective and should be considered as a second choice when transfemoral TAVI is not feasible due to severe comorbidities.

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Beyond the Obesity Paradox: Analysis of New Prognostic Factors in Transcatheter Aortic Valve Implantation Procedure

Ricci,

Benelli,

Pasqualetto

et al. 2024

JCDD

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Scope: The main purpose of our study was to collect computed tomography (CT) measurements of fat parameters that are significantly related to body mass index (BMI) and evaluate the associations of these measurements and sarcopenia with early and long-term complications after transcatheter aortic valve implantation (TAVI) in order to investigate the existence of the so-called ‘obesity paradox’ and the role of sarcopenia in this phenomenon. Materials and Methods: We analyzed the significance of fat CT measurements in 85 patients undergoing the TAVI procedure and compared these with each other, as well as with quantified CT BMI and fat density measurements. Secondly, we evaluated the associations of BMI, CT measurements of fat, and CT evaluations of skeletal muscle mass with early and long-term complications after 24 months of post-TAVI follow-up. Results: We found positive and significant relationships between fat CT measurements with each other and with BMI and a negative and significant relation between fat density and fat quantity. By comparing the CT measurements of fat and skeletal muscle mass with early and long-term complications after TAVI, we confirmed the existence of the ‘obesity paradox’ and the poor effect of sarcopenia after the TAVI procedure. Conclusions: We confirm that overweight and obesity are good prognostic factors, and sarcopenia is a poor prognostic factor for outcomes following the TAVI procedure. We focused on the scientific validation of an easy and fast way to measure fat and skeletal muscle mass using CT to better predict the outcomes of patients undergoing TAVI.

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Transcatheter aortic valve implantation in patients with unruptured aortic root pseudoaneurysm: an observational study

Cited by 3 publications

References 33 publications

Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report

Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report

The Transaxillary Route as a Second Access Option in TAVI Procedures: Experience of a Single Centre

Beyond the Obesity Paradox: Analysis of New Prognostic Factors in Transcatheter Aortic Valve Implantation Procedure

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