Embol-X intraaortic filter and transaortic approach for improved cerebral protection in transcatheter aortic valve implantation

Pierre Yves Etienne, Spiridon Papadatos, Denis Pieters, Elie El Khoury, Frédéric Alexis, Joel Price, David Glineur

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalAnnals of Thoracic Surgery
Volume92
Issue number5
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

Nervous System
Sternotomy
Thoracic Aorta
Aortic Valve
Aorta
Magnetic Resonance Imaging
Equipment and Supplies
Transcatheter Aortic Valve Replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

Embol-X intraaortic filter and transaortic approach for improved cerebral protection in transcatheter aortic valve implantation. / Etienne, Pierre Yves; Papadatos, Spiridon; Pieters, Denis; El Khoury, Elie; Alexis, Frédéric; Price, Joel; Glineur, David.

In: Annals of Thoracic Surgery, Vol. 92, No. 5, 11.2011.

Research output: Contribution to journalArticle

Etienne, Pierre Yves ; Papadatos, Spiridon ; Pieters, Denis ; El Khoury, Elie ; Alexis, Frédéric ; Price, Joel ; Glineur, David. / Embol-X intraaortic filter and transaortic approach for improved cerebral protection in transcatheter aortic valve implantation. In: Annals of Thoracic Surgery. 2011 ; Vol. 92, No. 5.
@article{c9b8378f4e694a198d917bc8a5ec7322,
title = "Embol-X intraaortic filter and transaortic approach for improved cerebral protection in transcatheter aortic valve implantation",
abstract = "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.",
author = "Etienne, {Pierre Yves} and Spiridon Papadatos and Denis Pieters and {El Khoury}, Elie and Fr{\'e}d{\'e}ric Alexis and Joel Price and David Glineur",
year = "2011",
month = "11",
doi = "10.1016/j.athoracsur.2011.05.109",
language = "English (US)",
volume = "92",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "5",

}

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

Y1 - 2011/11

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.

UR - http://www.scopus.com/inward/record.url?scp=80155173398&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80155173398&partnerID=8YFLogxK

U2 - 10.1016/j.athoracsur.2011.05.109

DO - 10.1016/j.athoracsur.2011.05.109

M3 - Article

VL - 92

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 5

ER -