Skip to main content
SpringerLink
Log in

Transfemoral transcatheter aortic valve implantation in the presence of a mechanical mitral valve prosthesis using a dedicated TAVI guidewire: utility of a patient-specific three-dimensional heart model

  • Case Report
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

An 82-year-old woman with severe aortic stenosis was referred. She had previously undergone mitral valve replacement. We planned transcatheter aortic valve implantation (TAVI) with transfemoral approach. We planned to use the Safari-dedicated TAVI guidewire. No studies have reported clinical application of the dedicated TAVI guidewire in a patient with the previous mitral valve replacement. Thus, we conducted a simulation using a three-dimensional heart model to confirm the safety of the procedure. The procedure was successful without any complications. This case is the first to show that the dedicated TAVI guidewire can be safely used in patients with preexisting mitral valve.

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

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Kapadia SR, Leon MB, Makkar RR, Tuzcu EM, Svensson LG, Kodali S, et al. 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet. 2015;6736:1–7.

    Google Scholar 

  2. Kawashima H, Watanabe Y, Kozuma K. Successful transfemoral aortic valve implantation through aortic stent graft after endovascular repair of abdominal aortic aneurysm. Cardiovasc Interv Ther. 2016. doi:10.1007/s12928-016-0385-1.

    Google Scholar 

  3. Kitahara H, Yoshitake A, Okamoto K, Hayashida K, Fukuda K, Shimizu H. Modified transiliac artery approach for transcatheter aortic valve implantation. Cardiovasc Interv Ther. 2016. doi:10.1007/s12928-016-0394-0.

    Google Scholar 

  4. Poulin F, Lamarche Y, Le VHV, Doucet M, Roméo P, Généreux P. Transcatheter aortic valve replacement in a patient with a previous bioprosthetic mitral valve replacement: report of a delayed fatal interaction. Can J Cardiol. 2016;32:270.e1–2.

    PubMed  Google Scholar 

  5. Vavuranakis M, Vrachatis DA, Kariori MG, Moldovan C, Kalogeras K, Lavda M, et al. TAVI in the case of preexisting mitral prosthesis: tips and tricks and literature review. J. Invasive Cardiol. 2014;26:609–13.

    PubMed  Google Scholar 

  6. Roy DA, Laborde JC, Sharma R, Jahangiri M, Brecker SJD. First-in-man assessment of a dedicated guidewire for transcatheter aortic valve implantation. EuroIntervention. 2013;8:1019–25.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank all the members of the TAVI heart team in Kyoto University Hospital, including Kyokun Uehara, Kazuhisa Sakamoto, Yasuhide Kuwabara, Toshiaki Toyota, Taro Nakatsu, Hirotoshi Watanabe, Tomohiko Taniguchi, Junichi Tazaki, and Hiroki Daijo.

Author information

Authors and Affiliations

  1. Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan

    Takanari Fujita, Naritatsu Saito, Masao Imai & Takeshi Kimura

  2. Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Kenji Minakata & Kazuhiro Yamazaki

Authors
  1. Takanari Fujita
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Naritatsu Saito
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kenji Minakata
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masao Imai
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kazuhiro Yamazaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Takeshi Kimura
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Naritatsu Saito.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fujita, T., Saito, N., Minakata, K. et al. Transfemoral transcatheter aortic valve implantation in the presence of a mechanical mitral valve prosthesis using a dedicated TAVI guidewire: utility of a patient-specific three-dimensional heart model. Cardiovasc Interv and Ther 32, 308–311 (2017). https://doi.org/10.1007/s12928-016-0426-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-016-0426-9

Keywords

Search

Navigation