Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Surgical feasibility of ascending aorta manipulation after transcatheter aortic valve implantation: a computed tomography theoretical analysis

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Five-year clinical outcomes of zotarolimus-eluting stents in coronary total occlusions

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. A computed tomography study of coronary access and coronary obstruction after redo transcatheter aortic valve implantation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Thirty-day clinical outcomes of the Evolut PRO self-expanding transcatheter aortic valve: the international FORWARD PRO study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Fractional Flow Reserve Guided PCI in Patients With and Without Left Ventricular Hypertrophy: a DANAMI-3-PRIMULTI Sub-study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Randomized blinded trial of automated REBOA during CPR in a porcine model of cardiac arrest

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Feasibility and safety of a fully percutaneous transcatheter aortic valve replacement program

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. 2020 ESC Guidelines for the management of adult congenital heart disease

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Vitamin K antagonists vs. direct oral anticoagulants after transcatheter aortic valve implantation in atrial fibrillation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Igor Belluschi
  • Nicola Buzzatti
  • Vittorio Romano
  • Ole De Backer
  • Lars Søndergaard
  • Julia Karady
  • Pal Maurovich-Horvat
  • Kusha Rahgozar
  • Michele De Bonis
  • Alessandro Castiglioni
  • Antonio Colombo
  • Ottavio Alfieri
  • Matteo Montorfano
  • Azeem Latib
Vis graf over relationer

AIMS: The expansion of TAVI will involve an increase in the frequency of emergent or late cardiac surgery after THV implantation. This study was designed to investigate the anatomical feasibility of surgical cross-clamp and aortotomy after TAVI through a post-TAVI CT-scan assessment.

METHODS AND RESULTS: We retrospectively analysed 117 CTs acquired after TAVI procedures with high stent prostheses in three high-volume centres between October 2008 and May 2017. The mean distance observed between the innominate artery and the top of the transcatheter heart valve was 45±11 mm, being <30 mm in 8/117 (6.8%) patients and <20 mm in none. The mean distance between the sinotubular junction and the first free site for aortotomy was 22±7 mm (>20 mm in 78/117 [66.7%] cases). A total of 56/117 (47.9%) patients showed a complete continuous contact between the anterior aortic wall and the anterior part of the valve stent.

CONCLUSIONS: Aortic cross-clamp appears not to be an issue when cardiac surgery is needed after TAVI; however, a careful and possibly higher aortotomy may be required. CT should be performed prior to planned cardiac surgery after TAVI to determine a safe positioning for aortic cross-clamp and aortotomy. Visual summary. Proper aortic cross-clamp and careful higher aortotomy after TAVI.

OriginalsprogEngelsk
TidsskriftEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Vol/bind16
Udgave nummer18
Sider (fra-til)e1533-e1540
ISSN1774-024X
DOI
StatusUdgivet - 2 apr. 2021

ID: 62242078