Skip to main content
SpringerLink
Log in

Successful percutaneous aortic valve implantation via a stenotic left subclavian artery access

  • Case Report
  • Published:
Heart and Vessels Aims and scope Submit manuscript

Abstract

Severe aortic valve stenosis may be tackled with percutaneous aortic valve replacement instead of surgical replacement. At present, two CE marked prosthetic valves are available. The CoreValve ReValving System is primarily designed to be introduced transfemorally, while implantation via subclavian arteries has been described in cases of unsuitable femoral access. However, this route has been used when subclavian artery is free of disease. In this case report we describe a successful CoreValve ReValving System implantation via a diseased and tortuous left subclavian artery after predilatation balloon angioplasty. The prosthesis was then advanced in the native aortic valve, deployed, and successfully implanted. Techniques and manipulations are provided.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Vahanian A, Alfieri O, Al-Attar N, Antunes M, Bax J, Cormier B, Cribier A, De Jaegere P, Fournial G, Kappetein AP, Kovac J, Ludgate S, Maisano F, Moat N, Mohr F, Nataf P, Pierard L, Pomar JL, Schofer J, Tornos P, Tuzcu M, van Hout B, Von Segesser LK, Walther T (2008) Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European association of cardio-thoracic surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). EuroIntervention 4:193–199

    Article  PubMed  Google Scholar 

  2. Iung B, Cachier A, Baron G, Messika-Zeitoun D, Delahaye F, Tornos P, Gohlke-Barwolf C, Boersma E, Ravaud P, Vahanian A (2005) Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery? Eur Heart J 26: 2714–2720

    Article  PubMed  Google Scholar 

  3. Bleiziffer S, Ruge H, Mazzitelli D, Schreiber C, Hutter A, Laborde JC, Bauernschmitt R, Lange R (2009) Results of percutaneous and transapical transcatheter aortic valve implantation performed by a surgical team. Eur J Cardiothorac Surg 35:615–620; discussion 620–621

    Article  PubMed  Google Scholar 

  4. Grube E, Schuler G, Buellesfeld L, Gerckens U, Linke A, Wenaweser P, Sauren B, Mohr FW, Walther T, Zickmann B, Iversen S, Felderhoff T, Cartier R, Bonan R (2007) Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the second- and current third-generation self-expanding CoreValve prosthesis: device success and 30-day clinical outcome. J Am Coll Cardiol 50:69–76

    Article  PubMed  Google Scholar 

  5. Spargias K, Manginas A, Pavlides G, Khoury M, Stavridis G, Rellia P, Smirli A, Thanopoulos A, Balanika M, Polymeros S, Thomopoulou S, Athanassopoulos G, Karatasakis G, Mastorakou R, Lacoumenta S, Michalis A, Alivizatos P, Cokkinos D (2008) Transcatheter aortic valve implantation: first Greek experience. Hellenic J Cardiol 49:397–407

    PubMed  Google Scholar 

  6. Bojara W, Mumme A, Gerckens U, Lindstaedt M, Gotzmann M, Germing A, Fritz M, Pennekamp W, Mugge A (2009) Implantation of the CoreValve self-expanding valve prosthesis via a subclavian artery approach: a case report. Clin Res Cardiol 98:201–204

    Article  PubMed  Google Scholar 

  7. Ruge H, Lange R, Bleiziffer S, Hutter A, Mazzitelli D, Will A, Schreiber C, Laborde JC, Bauernschmitt R (2008) First successful aortic valve implantation with the CoreValve ReValving System via right subclavian artery access: a case report. Heart Surg Forum 11:E323–E324

    Article  PubMed  Google Scholar 

  8. Roques F, Michel P, Goldstone AR, Nashef SA (2003) The logistic EuroSCORE. Eur Heart J 24:881–882

    Article  PubMed  CAS  Google Scholar 

  9. Sasaki Y, Hwang MW, Shirasawa K, Takeda S, Ayukawa H, Inenaga-Kitaura K, Takeoka R, Kitaura Y, Kawai C (2008) Stenting for superficial femoral artery atherosclerotic occlusion: long-term follow-up results. Heart Vessels 23:264–270

    Article  PubMed  Google Scholar 

  10. Andros G, Harris RW, Dulawa LB, Oblath RW, Schneider PA (1994) Subclavian artery catheterization: a new approach for endovascular procedures. J Vasc Surg 20:566–574; discussion 574–576

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

    Manolis Vavuranakis, Dimitrios A. Vrachatis, Konstantinos Toutouzas, George Economopoulos, Konstantinos I. Kalogeras & Christodoulos Stefanadis

  2. 113 Astypaleas Street, Anoixi, Attiki, 14569, Greece

    Manolis Vavuranakis

Authors
  1. Manolis Vavuranakis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dimitrios A. Vrachatis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Konstantinos Toutouzas
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. George Economopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Konstantinos I. Kalogeras
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Christodoulos Stefanadis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Manolis Vavuranakis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vavuranakis, M., Vrachatis, D.A., Toutouzas, K. et al. Successful percutaneous aortic valve implantation via a stenotic left subclavian artery access. Heart Vessels 25, 359–362 (2010). https://doi.org/10.1007/s00380-009-1212-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00380-009-1212-8

Key words

Search

Navigation