title: Transfemoral Edwards-Novaflex valve implantation in a patient with aorto-iliac endoprosthesis and severely tortuous bilateral external iliac arteries-"Railing track".
abstract: Transcatheter aortic valve implantation (TAVI) has nowadays been introduced as an alternative for surgical aortic valve replacement as a treatment for high risk aortic stenosis patients. This procedure is not free of complications: the SOURCE registry, indeed, showed that vascular complications are more frequent with the transfemoral approach. We present the case of an 82-year-old man with known history of severe aortic stenosis at high-risk for surgery. Pre-TAVI screening shows bilateral severely tortuous iliac arteries and aorto-bi-iliac endoprosthesis. Transapical TAVI as a first choice was rejected due to severe lung disease. The patient was then treated by Transfemoral TAVI using a dedicated interventional technique that is described in this case-report.
authors.affiliation: The Department of Medicine, University of Verona, 37126 Verona, Italy.
authors.forename: Rajesh M
authors.initials: RM
authors.lastname: Dandale
authors.forename: Gabriele
authors.initials: G
authors.lastname: Pesarini
authors.forename: Francesco
authors.initials: F
authors.lastname: Santini
authors.forename: Gionata
authors.initials: G
authors.lastname: Molinari
authors.forename: Andrea
authors.initials: A
authors.lastname: Rossi
authors.forename: Aldo
authors.initials: A
authors.lastname: Milano
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Faggian
authors.forename: Corrado
authors.initials: C
authors.lastname: Vassanelli
authors.forename: Flavio
authors.initials: F
authors.lastname: Ribichini
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D004452:Echocardiography; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome