Successful management of a bleeding complication during transaxillary transcatheter aortic-valve implantation: a case report.

ABSTRACT:

Background

The axillary artery is an alternative access route for transcatheter aortic-valve implantation (TAVI) in patients who have unfavourable femoral arteries as well as comorbidities which preclude surgery. Transaxillary TAVI (TAx-TAVI), with a complete non-transfemoral approach, is a feasible and safe alternative even if complications like vascular closure device failure with bleeding occurs.

Case summary

We describe here a simplified non-transfemoral TAx-TAVI approach in a 71-year-old patient with pulmonary oedema due to severe symptomatic aortic stenosis with a prohibitively high surgical risk (Society of Thoracic Surgeons Mortality 11.9%) and extensive peripheral artery disease that rendered the femoral arteries unsuitable for access. Importantly, this strategy als

SUBMITTER: Lauten P 

PROVIDER: S-EPMC9297097 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature