open access

Vol 70, No 5 (2012)
Original articles - new methods
Published online: 2012-05-23
Submitted: 2012-12-28
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Transcatheter aortic valve implantation using direct aortic access: first procedures in Poland

Radosław Wilimski, Zenon Huczek, Wojciech Szczawiński, Arkadiusz Pietrasik, Marcin Michalak, Piotr Ścisło, Michał Marchel, Leopold Bakoń, Krzysztof J. Filipiak, Romuald Cichoń, Grzegorz Opolski, Janusz Kochman
Kardiol Pol 2012;70(5):486-493.

open access

Vol 70, No 5 (2012)
Original articles - new methods
Published online: 2012-05-23
Submitted: 2012-12-28

Abstract

Transcatheter aortic valve implantation (TAVI) is an alternative option for the treatment of severe aortic stenosis in patients carrying an elevated operative risk of conventional surgical aortic valve replacement (AVR). Recently, data from randomised clinical trials confirmed superiority of TAVI when compared with the conservative treatment in inoperable patients, and its non-inferiority when compared with AVR in a high-risk population. Transfemoral vascular access remains the preferred route for delivering the bioprosthesis. However, in a significant proportion of patients, the presence of severe iliac-femoral arteriopathy or small vessel diameter render the transfemoral approach unusable. In this article, we report the first Polish experience of two successful TAVI procedures with bioprostheses (both balloon- and self-expandable) delivered using direct aortic access.

Abstract

Transcatheter aortic valve implantation (TAVI) is an alternative option for the treatment of severe aortic stenosis in patients carrying an elevated operative risk of conventional surgical aortic valve replacement (AVR). Recently, data from randomised clinical trials confirmed superiority of TAVI when compared with the conservative treatment in inoperable patients, and its non-inferiority when compared with AVR in a high-risk population. Transfemoral vascular access remains the preferred route for delivering the bioprosthesis. However, in a significant proportion of patients, the presence of severe iliac-femoral arteriopathy or small vessel diameter render the transfemoral approach unusable. In this article, we report the first Polish experience of two successful TAVI procedures with bioprostheses (both balloon- and self-expandable) delivered using direct aortic access.
Get Citation

Keywords

TAVI; aortic stenosis; aortic access; transaortic

About this article
Title

Transcatheter aortic valve implantation using direct aortic access: first procedures in Poland

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 5 (2012)

Pages

486-493

Published online

2012-05-23

Bibliographic record

Kardiol Pol 2012;70(5):486-493.

Keywords

TAVI
aortic stenosis
aortic access
transaortic

Authors

Radosław Wilimski
Zenon Huczek
Wojciech Szczawiński
Arkadiusz Pietrasik
Marcin Michalak
Piotr Ścisło
Michał Marchel
Leopold Bakoń
Krzysztof J. Filipiak
Romuald Cichoń
Grzegorz Opolski
Janusz Kochman

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