Successful Transseptal Transcatheter Aortic Valve Replacement With Monitored Anesthesia Care and Standard Delivery...

Area of Science:

• Cardiology
• Interventional Cardiology
• Medical Devices

Background:

• Transcatheter aortic valve replacement (TAVR) is a key treatment for symptomatic aortic stenosis.
• While transfemoral access is common, alternative access routes are crucial for specific patient populations.
• Existing alternative access methods include subclavian, carotid, caval, aortic, and apical approaches.

Purpose of the Study:

• To describe the first reported case of transseptal TAVR using the standard S3 delivery system.
• To evaluate the safety and efficacy of the transseptal approach for TAVR in a patient without peripheral arterial access.
• To assess the feasibility of using monitored anesthesia care (MAC) for transseptal TAVR.

Main Methods:

• A transseptal approach was utilized for TAVR in a patient with symptomatic aortic stenosis.
• The standard S3 delivery system was employed for valve implantation.
• The procedure was performed under monitored anesthesia care (MAC).

Main Results:

• The transseptal TAVR procedure was successfully completed using the standard S3 delivery system.
• The approach was found to be safe and effective in this patient.
• Monitored anesthesia care (MAC) was adequate for the procedure.

Conclusions:

• Transseptal TAVR with the S3 delivery system represents a novel and viable alternative access route.
• Advances in device maneuverability and profile facilitate this approach.
• This technique offers a safe and effective option for patients with limited or no peripheral arterial access.