Arterial inflow line equipped with a side arm for circulatory support and catheter insertion during transcatheter aortic valve implantation for limited vascular access
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Transcatheter aortic valve implantation was performed on a 78-year-old patient. Elective circulatory support with cardiopulmonary bypass was planned because of left ventricular function impairment and hemodynamic instability. Limited vascular access was due to a severe atherosclerotic aorta distal to the origin of the left carotid artery. The right arm was the only safe vascular access site. However, at least 2 vascular access sites for angiographic catheter and inflow of circulatory support were required. An arterial inflow line equipped with a side arm was developed to enable single access to the right axillary artery to be used for the above purposes.
KeywordsTranscatheter aortic valve implantation Shaggy aorta Cardiopulmonary bypass Axillary artery cannulation
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Conflict of interest
Takashi Murakami, Ryoji Sada, Yosuke Takahashi, Shinsuke Nishimura, Kazuki Mizutani, Asahiro Ito, Shinichi Iwata, Tokuhiro Yamada, Minoru Yoshiyama, Toshihiko Shibata have no conflicts of interest.
- 1.Shreenivas SS, Lilly SM, Szeto WY, Desai N, Anwaruddin S, Bavaria JE, et al. Cardiopulmonary bypass and intra-aortic balloon pump use is associated with higher short and long-term mortality after transcatheter aortic valve replacement: a PARTNER trail substudy. Catheter Cardiovasc Interv. 2015;86:316.322.CrossRefGoogle Scholar
- 3.Modi P, Chitwood WR Jr. Retrograde femoral arterial perfusion and stroke risk during minimally invasive mitral valve surgery: is there cause for concern? Amm Cardiothorac Surg. 2013;2:E1.Google Scholar