Document Detail

Transcatheter aortic valve implantation by left subclavian access in the presence of a patent LIMA to LAD graft.
MedLine Citation:
PMID:  20146316     Owner:  NLM     Status:  In-Data-Review    
We present a case of successful implantation of the Corevalve aortic bioprosthesis via the left subclavian artery in a patient with a patent internal mammary graft to the left anterior descending artery. This unusual choice of access, in the presence of adequate caliber femoral arteries, was justified by the presence of mobile thrombi in the abdominal aorta. The risk of thrombus dislodgement and subsequent major cholesterol embolization was deemed higher than the risk of coronary ischemia due to the large caliber sheath required for transcatheter aortic valve implantation. This case shows that presence of a LIMA to LAD graft is not an absolute contraindication for homolateral subclavian access and that the procedure is feasible and relatively safe provided that certain rules are followed. © 2010 Wiley-Liss, Inc.
Federico De Marco; Giuseppe Bruschi; Silvio Klugmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  77     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  430-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2009 Wiley-Liss, Inc.
Interventional Cardiology, Ospedale Niguarda Ca' Granda, Milano, Italy.
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