Transaortic valve implantation via occluded saphenous vein grafts--a novel access route for transcatheter aortic valve delivery

Rakesh M Suri; Kevin L Greason; Verghese Mathew

doi:10.1002/ccd.25133

Transaortic valve implantation via occluded saphenous vein grafts--a novel access route for transcatheter aortic valve delivery

Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E134-6. doi: 10.1002/ccd.25133. Epub 2013 Sep 30.

Authors

Rakesh M Suri¹, Kevin L Greason, Verghese Mathew

Affiliation

¹ Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.

PMID: 23873637
DOI: 10.1002/ccd.25133

Abstract

Transaortic valve implantation via direct aortic puncture has been shown to be useful alternative to more traditional access routes. In patients with previously placed ascending aorta saphenous vein grafts, access to the aortic valve may be limited. We therefore sought to detail the utility of a new approach for accessing the ascending aorta during transcatheter aortic valve implantation via the hood of previously placed saphenous vein grafts.

Keywords: aorta; closure; valvular heart disease; vascular access.

Publication types

Case Reports

MeSH terms

Aged
Aged, 80 and over
Aortic Valve / pathology*
Aortic Valve Stenosis / diagnosis
Aortic Valve Stenosis / therapy*
Calcinosis / diagnosis
Calcinosis / therapy*
Cardiac Catheterization / instrumentation
Cardiac Catheterization / methods*
Coronary Artery Bypass / adverse effects*
Female
Graft Occlusion, Vascular / diagnosis
Graft Occlusion, Vascular / etiology*
Graft Occlusion, Vascular / physiopathology
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / instrumentation
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Prosthesis Design
Punctures
Saphenous Vein / diagnostic imaging
Saphenous Vein / physiopathology
Saphenous Vein / transplantation*
Severity of Illness Index
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency

Supplementary concepts

Aortic Valve, Calcification of