Association of transaortic approach and transoesophageal echocardiography as the primary imaging technique for improved results in transcatheter valve implantation
| Autor: | Amedeo Anselmi, Joel Lapeze, Erwan Donal, Jean-Philippe Verhoye |
|---|---|
| Přispěvatelé: | Service de chirurgie thoracique cardiaque et vasculaire [Rennes], Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-CHU Pontchaillou [Rennes], Service de cardiologie et maladies vasculaires [Rennes], CHU Pontchaillou [Rennes], Service de chirurgie thoracique cardiaque et vasculaire [Rennes] = Thoracic and Cardiovascular Surgery [Rennes], Service de cardiologie et maladies vasculaires [Rennes] = Cardiac, Thoracic, and Vascular Surgery [Rennes] |
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Aortic valve
Cardiac Catheterization medicine.medical_treatment Heart Valve Diseases MESH: Ultrasonography Interventional 030204 cardiovascular system & hematology Transcatheter valve implantation Prosthesis 0302 clinical medicine MESH: Aged 80 and over Work in Progress Report 030212 general & internal medicine Cardiac skeleton MESH: Sternotomy Stroke Cardiac catheterization MESH: Treatment Outcome Aged 80 and over Heart Valve Prosthesis Implantation MESH: Cardiac Catheterization Sinotubular Junction 3. Good health medicine.anatomical_structure Treatment Outcome Echocardiography Aortic Valve Heart Valve Prosthesis [SDV.IB]Life Sciences [q-bio]/Bioengineering Radiology Anatomic Landmarks Cardiology and Cardiovascular Medicine MESH: Prosthesis Design Pulmonary and Respiratory Medicine MESH: Heart Valve Prosthesis Implantation medicine.medical_specialty MESH: Heart Valve Prosthesis MESH: Echocardiography Transesophageal Transoesophageal echocardiography Prosthesis Design 03 medical and health sciences [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system medicine Medical imaging Humans Ultrasonography Interventional MESH: Humans business.industry MESH: Heart Valve Diseases medicine.disease Sternotomy Surgery MESH: Anatomic Landmarks Feasibility Studies business MESH: Aortic Valve MESH: Feasibility Studies Echocardiography Transesophageal |
| Zdroj: | Interactive Cardiovascular and Thoracic Surgery Interactive Cardiovascular and Thoracic Surgery, Oxford University Press (OUP), 2012, 15 (4), pp.756-8. ⟨10.1093/icvts/ivs312⟩ |
| ISSN: | 1569-9293 |
| DOI: | 10.1093/icvts/ivs312⟩ |
| Popis: | International audience; OBJECTIVES: The transaortic access has been proposed to perform transcatheter aortic valve implantation in patients with no other available access. We hypothesize that its coupling with transoesophageal echocardiographic guidance may further reduce procedure-related morbidity. METHODS: Transoesophageal echocardiography was adopted as the primary imaging modality to produce high-resolution images and to guide the deployment of the transcatheter valve. This imaging modality allows continuous visualization not only of the prosthesis and of the delivery system, but also of the surrounding anatomical landmarks (aortic annulus, sinotubular junction and anterior mitral leaflet). RESULTS: We report an initial series of eight patients, who were treated by a transaortic delivery of the transcatheter valve (SAPIEN Valve, Edwards Lifesciences Inc., Irvine, CA, USA) through an upper mini-sternotomy and guided by transoesophageal echocardiography. The procedure was uneventful in all patients; there were no cases of access site morbidity, periprocedural stroke or renal failure. CONCLUSIONS: The association of the transaortic route and the transoesophageal echo guidance has the potential to improve the results of transcatheter valve implantation, and deserves further investigation. |
| Databáze: | OpenAIRE |
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