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- Title
Supraclavicular Subclavian access for Sapien Transcatheter aortic valve replacement- a novel approach.
- Authors
Dahle, Thom G.; Castro, Nathaniel J.; Stegman, Brian M.; Dutcher, Jacob R.; Teskey, John M.; Schmidt, Wade T.; Danielson, Daren S.; Dezell, Sara J.; Daniels, Virginia B.; Tiede, Daniel J.
- Abstract
<bold>Background: </bold>Within the trans-subclavian approach, procedural techniques can vary widely, and reported access generally refers to an infraclavicular axillary approach. We describe and report the use of a novel supraclavicular true subclavian approach for transcatheter aortic valve replacement (TAVR) exclusively for implantation of Sapien 3 valves.<bold>Case Presentation: </bold>We report our first five consecutive patients undergoing TAVR with a Sapien 3 valve using a standardized subclavian approach at a single center. In-hospital and 30-day complications were reported. The use of this approach resulted in successful implantation in 100% of patients in a safe manner with 0% mortality, stroke, and vascular injury during hospitalization and at 30 day follow-up. The in-hospital pacemaker implantation rate was 20%. The average length of stay was 3 days.<bold>Conclusions: </bold>TAVR with Sapien implant can be safely performed with a standardized supraclavicular subclavian approach in patients with unfavorable femoral access.
- Subjects
SUBCLAVIAN artery surgery; SUBCLAVIAN steal syndrome; CHEMOEMBOLIZATION; AORTIC valve transplantation; HEART failure; DIAGNOSIS; AORTIC valve surgery; SUBCLAVIAN veins; AORTIC stenosis; PROSTHETIC heart valves; LENGTH of stay in hospitals; SURGICAL complications; TREATMENT effectiveness; SURGERY
- Publication
Journal of Cardiothoracic Surgery, 2018, Vol 13, p1
- ISSN
1749-8090
- Publication type
journal article
- DOI
10.1186/s13019-018-0706-9