title: Sheathless transcatheter aortic valve implantation via the direct aortic approach.
abstract: Transcatheter aortic valve replacement (TAVR) has become an accepted alternate treatment modality to surgical aortic valve replacement in high surgical risk patients. There remains, however, a subset of patients in whom safe delivery of a TAVR device cannot be achieved by the femoral or subclavian routes. In such cases the direct aortic or transapical routes can be used though this still requires suitable anatomy. We present the first reported case of a direct aortic TAVR using a sheathless technique in order to provide sufficient distance to safely deliver the prosthesis.
authors.affiliation: MonashHeart, Monash Health, Melbourne, Australia; Monash Cardiovascular Research Centre, Department of Medicine, Monash University, Melbourne, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Antonis
authors.forename: Robert
authors.initials: R
authors.lastname: Gooley
authors.forename: Randall
authors.initials: R
authors.lastname: Moshinsky
authors.forename: Ian T
authors.initials: IT
authors.lastname: Meredith
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D001027:Aortography / Q000379:methods; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D015641:Radiography, Interventional; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: CoreValve; aortic valve stenosis; direct aortic; high surgical risk; percutaneous aortic valve replacement; sheathless