Modified transiliac artery approach for transcatheter aortic valve implantation

Hiroto Kitahara; Akihiro Yoshitake; Kazuma Okamoto; Kentaro Hayashida; Keiichi Fukuda; Hideyuki Shimizu

doi:10.1007/s12928-016-0394-0

Modified transiliac artery approach for transcatheter aortic valve implantation

Hiroto Kitahara, Akihiro Yoshitake, Kazuma Okamoto, Kentaro Hayashida, Keiichi Fukuda, Hideyuki Shimizu

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

We present a safe and effective method of transcatheter aortic valve implantation using an artificial graft anastomosed to the common iliac artery. A 10-mm woven polyethylene terephthalate graft is anastomosed to the common iliac artery. A guide wire and an expandable sheath are inserted through the graft, and bleeding from the puncture site is controlled by three tourniquets circled around the graft. Using this technique, we can bring the graft outside of the retroperitoneal space, allowing easy manipulation of the guide-wire and sheath, unimpeded by the constraints of the deep and narrow retroperitoneal space.

Original language	English
Pages (from-to)	196-198
Number of pages	3
Journal	Cardiovascular Intervention and Therapeutics
Volume	32
Issue number	2
DOIs	https://doi.org/10.1007/s12928-016-0394-0
Publication status	Published - 2017 Apr 1

Keywords

Aortic valve replacement
Peripheral vascular disease
Transcatheter aortic valve replacement

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.1007/s12928-016-0394-0

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AU - Kitahara, Hiroto

AU - Yoshitake, Akihiro

AU - Okamoto, Kazuma

AU - Hayashida, Kentaro

AU - Fukuda, Keiichi

AU - Shimizu, Hideyuki

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AB - We present a safe and effective method of transcatheter aortic valve implantation using an artificial graft anastomosed to the common iliac artery. A 10-mm woven polyethylene terephthalate graft is anastomosed to the common iliac artery. A guide wire and an expandable sheath are inserted through the graft, and bleeding from the puncture site is controlled by three tourniquets circled around the graft. Using this technique, we can bring the graft outside of the retroperitoneal space, allowing easy manipulation of the guide-wire and sheath, unimpeded by the constraints of the deep and narrow retroperitoneal space.

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