Abstract

Background

Transcatheter aortic valve implantation (TAVI) requires several bail-out techniques for safe valve delivery and deployment. Particularly in cases of challenging aortic anatomy, the snare technique from the contralateral side of the surgical site can facilitate delivery of the transcatheter heart valve (THV) system. However, there are no previous reports of the snare technique from the ipsilateral side of the surgical site in TAVI cases.

Case summary

A 77-year-old woman presented with severe aortic stenosis and congestive heart failure. As computed tomography showed a heavily calcified aortic arch, we performed TAVI using the ipsilateral snare technique to control the direction of the Evolut THV system. There was no haematoma or excessive bleeding at the surgical site during the procedure, and the patient was discharged without complications.

Discussion

In cases with challenging anatomy of the aorta, the ipsilateral snare technique may be useful for the safe delivery of the Evolut system.

Details

Title
Ipsilateral snare technique for the safe delivery of the Evolut PRO transcatheter aortic valve system: a case report
Author
Fukutomi, Motoki 1   VIAFID ORCID Logo  ; Onishi, Takayuki 1 ; Ando, Tomo 1 ; Tobaru, Tetsuya 1 

1  Department of Cardiology, Kawasaki Saiwai Hospital , 31-27 , Kawasaki, Kanagawa 212-0014, Japan 
Publication year
2023
Publication date
Nov 2023
Publisher
Oxford University Press
e-ISSN
25142119
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/ehjcr/ytad555
ProQuest document ID
3168005595
Copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.