Tools & Techniques: Transcatheter aortic valve implantation: transfemoral approach

2011 ◽  
Vol 6 (6) ◽  
pp. 784-785 ◽  
Author(s):  
Dominique Himbert ◽  
David Roy ◽  
Stephen Brecker ◽  
Eric Brochet ◽  
Jean-Paul Depoix ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Transfemoral Approach ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

scholarly journals Sleep Quality in Patients Undergoing Transcatheter Aortic Valve Implantation (TAVI)

2021 ◽  
Vol 18 (16) ◽  
pp. 8889
Author(s):  
Giulia Lorenzoni ◽  
Danila Azzolina ◽  
Chiara Fraccaro ◽  
Caterina Zoccarato ◽  
Clara Minto ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Sleep Quality ◽  
Transcatheter Aortic Valve Implantation ◽  
Severe Aortic Stenosis ◽  
P Value ◽  
Transfemoral Approach ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

The present study aimed to analyze sleep quality and quality of Life (QoL) in patients undergoing Transcatheter Aortic Valve Implantation (TAVI). It was conducted at the Interventional Cardiology Unit of the Department of Cardiac, Thoracic, Vascular Sciences and Public Health of the University of Padova on 27 adult patients who underwent TAVI via the transfemoral approach. Patients completed two validated instruments, i.e., the Pittsburgh Sleep Quality Index (PSQI) and the EuroQoL (EQ-5D-5L), on the day of discharge and one month after the hospital discharge. Twenty-seven patients were enrolled with a severe aortic stenosis diagnosis, treated with transfemoral TAVI procedure. The study population included seventeen poor sleepers and ten good sleepers with a median age of 81.92 years overall. The global PSQI evaluation revealed a small significant improvement at follow-up (p-value 0.007). Small positive changes were detected in the Self-care and Usual activity domains of the EQ-5D-5L and the EQ-VAS. No correlation was detected between EQ-5D-5L and sleep quality. The present study confirms the importance of sleep quality monitoring in patients who undergo TAVI procedure for aortic stenosis treatment.

scholarly journals Overcoming the Challenges of the Transfemoral Approach in Transcatheter Aortic Valve Implantation

2013 ◽  
Vol 8 (2) ◽  
pp. 131 ◽  
Author(s):  
Stephane Noble ◽  
Marco Roffi ◽  
◽  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Complication Rates ◽  
Transfemoral Approach ◽  
Percutaneous Procedures ◽  
Transcatheter Aortic Valve ◽  
Antegrade Approach ◽  
Aortic Valve Implantation ◽  
Valve Implantation ◽  
Delivery Catheter

Transcatheter aortic valve implantation (TAVI) is performed through a retrograde transfemoral approach in approximately 80–90 % of cases thanks to the improvements in delivery catheter profile, size and steerability compared with the first generation devices. The aim of this review article is to describe the challenges of transfemoral TAVI and the options to overcome them. The difficulties may be related to the access itself or the placement of the valve using the transfemoral route. Comprehensive patient screening using multislice computed tomography and crossover techniques to prevent bleeding should result in low complication rates even for fully percutaneous procedures. Horizontal ascending aorta and severely calcified aortic valves remain a challenge for retrograde valve crossing, device advancement and accurate positioning during deployment. The buddy balloon technique is a simple option in the case of difficult aortic valve crossing with a delivery catheter, whereas an antegrade approach using the transapical route is a reasonable alternative in such anatomy.

scholarly journals Internal Endoconduit Technique during Transcatheter Aortic Valve Implantation

2019 ◽  
Vol 08 (01) ◽  
pp. e5-e7
Author(s):  
Osamu Sakai ◽  
Katsuhiko Oka ◽  
Tomoya Inoue ◽  
Hitoshi Yaku
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Iliac Artery ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Transfemoral Approach ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation ◽  
Transfemoral Tavi

AbstractThe transfemoral approach is the least invasive transcatheter aortic valve implantation (TAVI) approach, but the diameter of the iliofemoral arteries needs to exceed 5 mm. We report a case of limited access transfemoral TAVI by the “internal endoconduit technique,” which is well known as a safe and effective dilatational technique for thoracic endovascular aortic repair. Subsequently, we could deliver the device without iliac artery injury and we performed transfemoral TAVI.

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