Journal ArticleDOI
Critical aortic stenosis and acute ascending aortic penetrating ulcer managed utilizing transapical TAVR and TEVAR.
Reads0
Chats0
TLDR
To the knowledge, this is the first reported case of a hybrid single‐stage TAVR and ascending aortic TEVAR using transapical access.Abstract:
Thoracic endovascular aortic repair (TEVAR) of acute ascending aortic pathology is feasible; however, the unique features of this aortic segment in addition to access challenges restricts its use to a select, high-risk subset of patients. With the advent of TAVR, large device delivery using transapical access has become a well-defined technique. We report a patient with critical aortic stenosis and an acute ascending aortic penetrating ulcer with tamponade managed successfully utilizing transapical TAVR and TEVAR. To our knowledge, this is the first reported case of a hybrid single-stage TAVR and ascending aortic TEVAR using transapical access. © 2015 Wiley Periodicals, Inc.read more
Citations
More filters
Journal ArticleDOI
Suitability of the porcine aortic model for transcatheter aortic root repair
Changtian Wang,Mario Lachat,Evelyn Regar,Ludwig K. von Segesser,Francesco Maisano,Enrico Ferrari +5 more
TL;DR: The porcine heart can be used as an experimental model to design and test new devices for catheter-based composite repair of the aortic root, and caution is required in using devices with tailored dimensions that must be adapted to the smaller pig's root.
Journal ArticleDOI
Endovascular treatment of non-dissected ascending aorta disease: a systematic review.
Changtian Wang,Evelyn Regar,Mario Lachat,Ludwig K. von Segesser,Francesco Maisano,Enrico Ferrari +5 more
TL;DR: As an alternative treatment for ascending aorta disease in selected high-risk patients, the endovascular repair will gain popularity, but further analysis is required.
Journal ArticleDOI
Combined Transapical Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair for Severe Aortic Stenosis and Arch Aneurysm.
TL;DR: The feasibility of using combined transapical transcatheter technologies to treat multicomponent disease in a high-risk patient during a single operation is demonstrated.
Journal ArticleDOI
Commentary: Emergent TAVR During TEVAR.
George Joseph,Lars Lönn +1 more
TL;DR: The emergent use of TAVR to treat iatrogenic severe aortic regurgitation caused by unintended proximal displacement of an ascending aortsic endograft that resulted in tethering of the left coronary cusp of the native aorti valve in the open position is reported.
Journal ArticleDOI
Endograft limb trimming and resheathing can be an alternative for emergent aortic repair without adequate stent graft availability
Francisco Álvarez Marcos,Delfín Couto Mallón,Pilar Vilariño López-Barranco,Jorge Vilariño Rico,Francisco José Franco Meijide,Santiago Caeiro Quinteiro +5 more
TL;DR: In both cases, tabletop deployment and removal of two stents from an Endurant iliac limb, followed by resheathing and deployment, allowed successful repair as a bridging therapy for open surgery.
References
More filters
Journal ArticleDOI
Transcatheter Aortic-Valve Implantation for Aortic Stenosis in Patients Who Cannot Undergo Surgery
Martin B. Leon,Craig R. Smith,Michael J. Mack,D. Craig Miller,Jeffrey W. Moses,Lars G. Svensson,E. Murat Tuzcu,John G. Webb,Gregory P. Fontana,Raj Makkar,David L. Brown,Peter C. Block,Robert A. Guyton,Augusto D. Pichard,Joseph E. Bavaria,Howard C. Herrmann,Pamela S. Douglas,John L. Petersen,Jodi J. Akin,William N. Anderson,Duolao Wang,Stuart J. Pocock +21 more
TL;DR: In patients with severe aortic stenosis who were not suitable candidates for surgery, TAVI, as compared with standard therapy, significantly reduced the rates of death from any cause, the composite end point of deathFrom any cause or repeat hospitalization, and cardiac symptoms, despite the higher incidence of major strokes and major vascular events.
Journal ArticleDOI
Endovascular Repair of Ascending Aortic Dissection: A Novel Treatment Option for Patients Judged Unfit for Direct Surgical Repair
Qingsheng Lu,Jiaxuan Feng,Jian Zhou,Zhiqing Zhao,Junmin Bao,Rui Feng,Liangxi Yuan,Xiang Feng,Lefeng Qu,Yifei Pei,Zhijun Mei,Zaiping Jing +11 more
TL;DR: Endovascular repair of AAD was an appropriate treatment option in patients who were considered poor candidates for traditional direct surgical repair by the clinical criteria used in this institution.
Journal ArticleDOI
Endovascular management of ascending aortic pathology.
Ralf Kolvenbach,Ron Karmeli,Lazlo S. Pinter,Yuefeng Zhu,Fan Lin,Sergej Wassiljew,Markus Meyer-Gaessner +6 more
TL;DR: Stent grafting of the ascending aorta is technically feasible but should be reserved for selected high-risk patients only, preferably in centers where vascular specialists cooperate closely with interventional cardiologists.
Journal ArticleDOI
Endovascular Repair of Ascending Aortic Aneurysm by Transapical Approach and Periscope Technique
Hans Krankenberg,Ralf Bader,Sebastian Sixt,Thilo Tübler,Carsten Schwencke,Dietmar Kivelitz,Ashrat Rad,Michael Caspary,Thomas Zeller +8 more
TL;DR: A dual approach in terms of transapical stent-graft implantation and the periscope technique for perfusion of the supra-aortic branches may be an option for the treatment of inoperable aneurysms of the ascending aorta.
Journal ArticleDOI
Combined Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Using Transapical Access.
Keith B. Allen,Lesley M. Johnson,A. Michael Borkon,Sanjeev Aggarwal,J. Russell Davis,David Cohen,Adnan K. Chhatriwalla,Aaron Grantham,Anthony Hart +8 more
TL;DR: To the authors' knowledge, this is the first reported case of a hybrid single-stage transcatheter aortic valve replacement and thoracic aortsic endovascular repair using transapical access.