Bratislava Medical Journal Vol.121, No.8, p.537

Bratislava Medical Journal Vol.121, No.8, p.537–540,2020

Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

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Bratislava Medical Journal Vol.121, No.8, p.537–540,2020
Title: Combined percutaneous approach for aortic valve implantation in poor vascular access
Author: P. Kala, D. Tesar, P. Hajek, R. Adlova, J. Veselka

Abstract: Transcatheter aortic valve implantation (TAVI) is a well-established management option for symptomatic patients with severe aortic stenosis. The minimally invasive transfemoral approach is considered to be superior to non-transfemoral accesses; however, its use is often limited by concomitant peripheral artery disease (PAD). Percutaneous transluminal angioplasty with stent implantation (PTA) is a gold-standard therapy for symptomatic PAD. We present 2 cases from our cohort of patients with severe aortic stenosis and PAD previously contraindicated for TAVI because of poor peripheral vascular access. However, the patients were eventually treated either by staged PTA and TAVI through an endothelialized stent or PTA and TAVI though a newly implanted peripheral stent during one procedure. We provide recommendations based on our experience of how to select the optimal patients for such a combined minimally invasive transfemoral approach (Fig. 2, Ref. 9).

Keywords: transcatheter valve implantation, peripheral arterial disease, aortic valve disease, percutaneous intervention, atherosclerosis
	Published online: 28-Jul-2020
Year: 2020, Volume: 121, Issue: 8	Page From: 537, Page To: 540
doi:10.4149/BLL_2020_089
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