scholarly journals How we do it: effective stabilization of the apical delivery sheath during transapical aortic valve implantation

2012 ◽  
Vol 42 (6) ◽  
pp. 1042-1043
Author(s):  
N. Madershahian ◽  
M. Scherner ◽  
T. Wahlers
Author(s):  
Parla Astarci ◽  
David Glineur ◽  
Joelle Kefer ◽  
Jean Renkin ◽  
Jean-Louis Vanoverschelde ◽  
...  

Transapical aortic valve implantation requires puncture of the left ventricle apex and insertion of a 32-French delivery sheath. A critical step in the procedure consists of secure closure of the ventricular apex. We describe 2 cases of apical rupture of 42 transapical aortic valve implantations. Furthermore, we describe the use of a newly designed single circular Teflon pledget that can help to avoid this complication. This pledget provides a more secure and uniform shrinkage of the entire apex to close the defect left by the delivery sheath.


2021 ◽  
Vol 8 ◽  
Author(s):  
Nils Perrin ◽  
Guillaume Bonnet ◽  
Lionel Leroux ◽  
Réda Ibrahim ◽  
Thomas Modine ◽  
...  

Transfemoral access remains the most widely used peripheral vascular approach for transcatheter aortic valve implantation (TAVI). Despite technical improvement and reduction in delivery sheath diameters of all TAVI platforms, 10–20% of patients remain not eligible to transfemoral TAVI due to peripheral artery disease. In this review, we aim at presenting an update of recent data concerning transfemoral access and percutaneous closure devices. Moreover, we will review peripheral non-transfemoral alternative as well as caval-aortic accesses and discuss the important features to assess with pre-procedural imaging modalities before TAVI.


2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
M Wolf ◽  
R Sodian ◽  
P Boekstegers ◽  
M Primaychenko ◽  
G Juchem ◽  
...  

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
J Blumenstein ◽  
J Kempfert ◽  
S Lehmann ◽  
A van Linden ◽  
D Merk ◽  
...  

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