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Modified transiliac artery approach for transcatheter aortic valve implantation

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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.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Keio University Hospital, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Hiroto Kitahara, Akihiro Yoshitake, Kazuma Okamoto & Hideyuki Shimizu

  2. Department of Cardiology, Keio University Hospital, Tokyo, Japan

    Kentaro Hayashida & Keiichi Fukuda

Authors
  1. Hiroto Kitahara
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  2. Akihiro Yoshitake
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  3. Kazuma Okamoto
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  4. Kentaro Hayashida
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  5. Keiichi Fukuda
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  6. Hideyuki Shimizu
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Corresponding author

Correspondence to Hiroto Kitahara.

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Conflict of interest

Dr. K. Hayashida is a clinical proctor for transfemoral-TAVI for Edwards Lifesciences. The remaining authors declare that they have no conflicts of interest associated with this study. Moreover, they had full control of the design of the study, the methods that were used, the outcome parameters and results, the analysis of data, and the production of the written report.

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Kitahara, H., Yoshitake, A., Okamoto, K. et al. Modified transiliac artery approach for transcatheter aortic valve implantation. Cardiovasc Interv and Ther 32, 196–198 (2017). https://doi.org/10.1007/s12928-016-0394-0

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  • DOI: https://doi.org/10.1007/s12928-016-0394-0

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