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Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning

Author

Listed:
  • Alfredo Intorcia

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Vittorio Ambrosini

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Michele Capasso

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Riccardo Granata

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Fabio Magliulo

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Giannignazio Luigi Carbone

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Stefano Capobianco

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Francesco Rotondi

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Francesca Lanni

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Fiore Manganelli

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

  • Emilio Di Lorenzo

    (Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy)

Abstract

Aortic stenosis is the most common primary valve lesion requiring surgery or, especially for older patients, transcatheter intervention (TAVI). We showcase a successful transfemoral TAVI procedure in a very high-risk patient and an extremely tortuous S-shaped descending aorta, characterized by heavy calcifications and multiple strong resistance points. We demonstrated that transfemoral TAVI using the “buddy stiff guidewire” technique could be a feasible, simple, quick, and easy procedure able to straighten an extremely abdominal aorta tortuosity. With all techniques available and careful pre-procedural planning, and thanks to the flexibility of new generation TAVI delivery systems, it is possible to safely perform the procedure even in the most challenging patients.

Suggested Citation

  • Alfredo Intorcia & Vittorio Ambrosini & Michele Capasso & Riccardo Granata & Fabio Magliulo & Giannignazio Luigi Carbone & Stefano Capobianco & Francesco Rotondi & Francesca Lanni & Fiore Manganelli &, 2022. "Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning," IJERPH, MDPI, vol. 19(8), pages 1-6, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4763-:d:793978
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