Document Detail


A novel device for endovascular native aortic valve resection for transapical transcatheter aortic valve implantation.
MedLine Citation:
PMID:  22235001     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We developed a novel resection device to use during transapical transcatheter aortic valve implantation (TAVI) using a circular blade. We assessed the device in 15 human cadavers by transapical approach. After the resection, the aortic annulus was measured using standard probes. A careful examination of the aortic wall, left ventricular outflow tract, coronary ostia and mitral valve was performed using an endpoint checklist, developed specifically for the new device. The resection was successfully completed in 14 out of 15 (93%) cases. All the resected leaflets and debris have been successfully evaluated in 15 out of 15 (100%) cases. One case of a bicuspid valve had a prominent calcification of the median raphe. The resection tool could only perform a partial resection. The mean duration of the resection was 45 ± 30 s. The surrounding tissue examination did not reveal any injury to the anatomical structures. Endovascular resection of the native valve using transapical approach is feasible and effective. Further developments are necessary before the definitive clinical use during percutaneous aortic valve implantation.
Authors:
Parla Astarci; David Glineur; Gébrine Elkhoury; Benoit Raucent
Publication Detail:
Type:  Journal Article     Date:  2012-01-09
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-22     Completed Date:  2012-07-24     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  378-80     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular and Thoracic Surgery, University Hospital Saint-Luc, Brussels, Belgium. parla.astarci@uclouvain.be
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve / pathology,  surgery*
Aortic Valve Stenosis / pathology,  surgery*
Cadaver
Cardiac Catheterization / instrumentation*
Checklist
Equipment Design
Heart Valve Prosthesis Implantation / instrumentation*,  methods
Humans
Materials Testing
Surgical Instruments*
Time Factors
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2012 Apr;14(4):380-1   [PMID:  22438409 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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