AI Article Synopsis
- The snare technique can aid in the safe delivery of transcatheter heart valves, particularly in challenging cases of aortic anatomy.
- A 77-year-old woman with severe aortic stenosis underwent TAVI using the ipsilateral snare technique, which helped control the delivery of the heart valve system.
- The procedure was successful with no complications, suggesting that this method may be beneficial in similar challenging cases.
Article Abstract
Background: Transcatheter aortic valve implantation (TAVI) requires several bail-out techniques for safe valve delivery and deployment. Particularly in cases of challenging aortic anatomy, the snare technique from the contralateral side of the surgical site can facilitate delivery of the transcatheter heart valve (THV) system. However, there are no previous reports of the snare technique from the ipsilateral side of the surgical site in TAVI cases.
Case Summary: A 77-year-old woman presented with severe aortic stenosis and congestive heart failure. As computed tomography showed a heavily calcified aortic arch, we performed TAVI using the ipsilateral snare technique to control the direction of the Evolut THV system. There was no haematoma or excessive bleeding at the surgical site during the procedure, and the patient was discharged without complications.
Discussion: In cases with challenging anatomy of the aorta, the ipsilateral snare technique may be useful for the safe delivery of the Evolut system.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661088 | PMC |
| http://dx.doi.org/10.1093/ehjcr/ytad555 | DOI Listing |
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