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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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How should I treat a staggering TAVI procedure?

Nicolas M Van Mieghem¹, Apostolos Tzikas, Rutger-Jan Nuis

¹Department of Cardiology, Thoraxcenter, Erasmus Medical Centre, Rotterdam, The Netherlands.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology

|October 2, 2010

Abstract

Background:

A 79-year-old female patient with past medical history of chronic myeloid leukaemia, presented to the outpatient cardiology clinic with shortness of breath (NYHA class 3) and fatigue.

Investigation:

Echocardiography (ECG) and multislice computed tomography (MSCT).

Diagnosis:

Severe calcified aortic valve stenosis by echocardiography. Logistic EuroSCORE 10.3. Porcelain aorta by multislice computed tomography (MSCT).

Treatment:

Transcatheter aortic valve implantation (TAVI) with an 18 Fr Medtronic-CoreValve system (Medtronic Inc., Minneapolis, MN, USA) using a right transfemoral arterial approach.

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