Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device

Ai Kawamura; Koichi Maeda; Kizuku Yamashita; Kazuo Shimamura; Shigeru Miyagawa

doi:10.1007/s11748-022-01785-8

Successful transfemoral-transcatheter aortic valve replacement in high-risk patients with a grade 4 atheroma in the ascending aorta: cerebral protection with a filter device

Gen Thorac Cardiovasc Surg. 2022 Jun;70(6):584-587. doi: 10.1007/s11748-022-01785-8. Epub 2022 Feb 24.

Authors

Ai Kawamura¹, Koichi Maeda², Kizuku Yamashita¹, Kazuo Shimamura¹, Shigeru Miyagawa¹

Affiliations

¹ Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
² Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. [email protected].

PMID: 35201550
DOI: 10.1007/s11748-022-01785-8

Abstract

Perioperative stroke is one of the most serious complications after transcatheter aortic valve replacement (TAVR), and it should be especially noted in patients with an atheroma in the ascending aorta. Here, we report the first experience of transfemoral (TF)-TAVR with the insertion of a filter device for two patients with severe aortic stenosis who were incidentally detected a grade 4 atheroma in the ascending aorta preoperatively. The patients had a favorable postoperative course without any cerebrovascular events or procedure-related complications.

Keywords: Grade 4 atheroma in the ascending aorta; Sentinel cerebral protection system; Transcatheter aortic valve replacement.

MeSH terms

Aorta / surgery
Aortic Valve / surgery
Aortic Valve Stenosis* / complications
Aortic Valve Stenosis* / diagnostic imaging
Aortic Valve Stenosis* / surgery
Humans
Plaque, Atherosclerotic* / complications
Plaque, Atherosclerotic* / surgery
Risk Factors
Transcatheter Aortic Valve Replacement* / adverse effects
Treatment Outcome