title: Portico Sheathless Transcatheter Aortic Valve Implantation via Distal Axillary Artery.
abstract: Transcatheter aortic valve implantation has been designed to treat older patients affected by severe aortic stenosis who are considered high-risk surgical candidates because of multiple comorbidities. The least invasive approach for transcatheter aortic valves implantation should be considered the transfemoral retrograde route, because it is minimally invasive and is feasible with local anesthesia and mild sedation. Despite significant technical improvements in recent years, the transfemoral approach is contraindicated in cases of severe peripheral artery disease. We describe the first case of a Portico transcatheter aortic valve implantation system (St. Jude Medical, Minneapolis, MN) made through the distal axillary artery in a 90-year-old patient affected by severe aortic stenosis.
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy. Electronic address: giuseppe.bruschi@fastwebnet.it.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bruschi
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Colombo
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Botta
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Nava
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Merlanti
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Oriana
authors.initials: O
authors.lastname: Belli
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Musca
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Soriano
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Claudio F
authors.initials: CF
authors.lastname: Russo
authors.affiliation: "De Gasperis" Cardiac Center, ASST Niguarda General Hospital, Milan, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Oliva
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D001366:Axillary Artery; D001705:Bioprosthesis; D000072226:Computed Tomography Angiography / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D011474:Prosthesis Design; D018570:Risk Assessment; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*; D016896:Treatment Outcome