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Area of Science:

  • Cardiovascular Interventions
  • Medical Device Technology

Background:

  • Transfemoral transcatheter aortic valve implantation (TAVI) is a standard procedure.
  • Access to the contralateral femoral artery can be challenging due to mechanical cardiac support.

Purpose of the Study:

  • To describe a novel technique for TAVI.
  • To present a solution for challenging TAVI cases with obstructed femoral access.

Main Methods:

  • The trans-brachial buddy balloon technique was employed.
  • A low-profile Trival balloon was used for assistance.
  • This was performed in a patient requiring transfemoral TAVI with mechanical cardiac support.

Main Results:

  • Successful facilitation of trans-brachial balloon assistance was achieved.
  • The technique provided a viable alternative when femoral access was compromised.

Conclusions:

  • The trans-brachial buddy balloon technique is a feasible approach for TAVI.
  • This method is particularly useful in complex cases with limited vascular access options.