Urgent trans-axillary valve-in-valve procedure using the Edwards 16F expandable introducer.

Vito Giovanni Ruggieri (1) , Marc Bedossa (2) , Jean-Philippe Verhoye (1)

1 Service de chirurgie thoracique cardiaque et vasculaire [Rennes] = Thoracic and Cardiovascular Surgery [Rennes]
2 Service de cardiologie et maladies vasculaires [Rennes] = Cardiac, Thoracic, and Vascular Surgery [Rennes]

Transcatheter aortic valve implantation could represent an alternative option to conventional surgery in high risk patients with degeneration of aortic bioprosthesis. Herein we report the performance of a valve-in-valve procedure in urgent conditions and via the left axillary artery in a patient with patent left internal mammary artery coronary graft. A 23 mm Edwards Sapien(®) transcatheter valve was deployed within a 23 mm Edwards Magna Ease bioprosthesis through the novel Edwards 16 French expandable introducer. In this non-elective case the expandable introducer allowed a safe procedure, reduced the risk of subclavian injury and preserved the LIMA graft flow. © 2012 Wiley Periodicals, Inc.

Mots clés: Cardiac catheterization/intervention; 2 Endovascular procedures/stents; except PCI; 3 Heart valve; bioprosthesis; 4 Heart valve; transapical; percutaneous; 5 Reoperation (aortic valve)

Domaines: Ingénierie biomédicale; Cardiologie et système cardiovasculaire

Vito Giovanni Ruggieri, Marc Bedossa, Jean-Philippe Verhoye. Urgent trans-axillary valve-in-valve procedure using the Edwards 16F expandable introducer.. Catheterization and Cardiovascular Interventions, 2012, epub ahead of print. ⟨10.1002/ccd.24771⟩. ⟨hal-00880538⟩