title: Direct aortic transcatheter aortic valve implantation: a feasible approach for patients with severe peripheral vascular disease.
abstract: Aortic stenosis is a prevalent disease with poor prognosis if left untreated. Transcatheter aortic valve implantation (TAVI) is an emerging treatment for patients at high risk for surgery. We describe a patient with no suitable peripheral access due to peripheral vascular disease (PVD) for TAVI. Direct aortic approach via an 18-Fr sheath inserted into the ascending aorta was successfully performed with a 29-mm CoreValve implanted. Direct aortic approach is feasible for TAVI in patients with severe PVD without good peripheral access.
authors.affiliation: Cardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, UK. eduar.alegria@gmail.com
authors.forename: Eduardo
authors.initials: E
authors.lastname: Alegría-Barrero
authors.forename: Pak Hei
authors.initials: PH
authors.lastname: Chan
authors.forename: Carlo
authors.initials: C
authors.lastname: Di Mario
authors.forename: Neil E
authors.initials: NE
authors.lastname: Moat
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta; D001024:Aortic Valve Stenosis / Q000150:complications / Q000628:therapy*; D001027:Aortography / Q000379:methods; D006328:Cardiac Catheterization / Q000295:instrumentation; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D058729:Peripheral Arterial Disease / Q000150:complications* / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome