Antegrade approach for TAVR with total occlusion of the descending aorta. Issue 5 (13th November 2013)

• Record Type: Journal Article
• Authors: Levisay, Justin P.; Salinger, Michael H.; Feldman, Ted
• Is Part Of: Catheterization and cardiovascular interventions. Volume 83:Issue 5(2014:Apr. 01)
• Page Start: 824
• Page End: 830
• Publication Date: 2013-11-13
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.25124
• Languages: English
• ISSNs: 1522-1946

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <p>The antegrade approach for aortic valve interventions is well known but has not been widely used for transcatheter aortic valve replacement (TAVR) procedures. We encountered a patient with no possibility of retrograde access due to a totally occluded abdominal aorta who had a failed attempt at apical TAVR. We describe antegrade TAVR despite occlusion of the abdominal aorta, with the arterial limb of the requisite veno‐arterial loop created using bilateral arm access, a novel version of the previously described antegrade approach. © 2013 Wiley Periodicals, Inc.</p> </abstract>