TY - JOUR
T1 - Embol-X intraaortic filter and transaortic approach for improved cerebral protection in transcatheter aortic valve implantation
AU - Etienne, Pierre Yves
AU - Papadatos, Spiridon
AU - Pieters, Denis
AU - El Khoury, Elie
AU - Alexis, Frédéric
AU - Price, Joel
AU - Glineur, David
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Techniques for transcatheter aortic valve implantation involve manipulation of the native aortic valve and the aortic arch. As a result, excellent technical outcomes of this technique remain counterbalanced by a level of neurologic complications that remain unacceptably high. We present here a report of a new potential combined approach to reduce periprocedural neurologic events. After a 6-cm J-shaped upper-mini-sternotomy, 26-mm Sapien valve (Edwards Lifesciences, Irvine, CA) was deployed through a transaortic approach. In addition, the Embol-X device (Edwards Lifescience) was directly inserted in the distal ascending aorta was deployed during all the procedure. Postoperative evolution was clinically uneventful. Postoperative magnetic resonance imaging revealed no new ischemic lesions in this first patient.
AB - Techniques for transcatheter aortic valve implantation involve manipulation of the native aortic valve and the aortic arch. As a result, excellent technical outcomes of this technique remain counterbalanced by a level of neurologic complications that remain unacceptably high. We present here a report of a new potential combined approach to reduce periprocedural neurologic events. After a 6-cm J-shaped upper-mini-sternotomy, 26-mm Sapien valve (Edwards Lifesciences, Irvine, CA) was deployed through a transaortic approach. In addition, the Embol-X device (Edwards Lifescience) was directly inserted in the distal ascending aorta was deployed during all the procedure. Postoperative evolution was clinically uneventful. Postoperative magnetic resonance imaging revealed no new ischemic lesions in this first patient.
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U2 - 10.1016/j.athoracsur.2011.05.109
DO - 10.1016/j.athoracsur.2011.05.109
M3 - Article
C2 - 22051319
AN - SCOPUS:80155173398
SN - 0003-4975
VL - 92
SP - e95-e96
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 5
ER -