Transapical Transcatheter Aortic Valve Implantation

Slides:

Advertisements

Similar presentations

Endovascular Repair of Thoracoabdominal Aortic Aneurysms with Fenestrated- Branched Stent-Grafts Edward G. Soltesz, MD, MPH, Roy K. Greenberg, MD Operative.

Advertisements

Use of a Miniaturized Transesophageal Echocardiographic Probe in the Intensive Care Unit for Diagnosis and Treatment of a Hemodynamically Unstable Patient.

Of mice and men and surgical transcatheter aortic valve insertion

Transaortic Implant of Transcatheter Aortic Valve Prostheses

Access Issues in Abdominal/Thoracic Endovascular Aortic Repair and Transcatheter Aortic Valve Replacement René Bombien, MD, PhD, Ali Khoynezhad, MD,

Reinforcement of the Pulmonary Autograft with a Prosthetic Graft to Prevent Dilatation After the Ross Procedure Thierry Carrel, MD, Florian Schönhoff,

Aborted episode of sudden death due to delayed heart block after transcatheter aortic valve insertion Kevin L. Greason, MD, Paul A. Friedman, MD, Daniel.

First successful transapical aortic valve implantation after aortic allograft replacement Michael Schmoeckel, MD, Peter Boekstegers, MD, Konstantin Nikolaou,

Challenging homografts as the holy grail for aortic valve endocarditis

Percutaneous aortic valves: Effective in inoperable patients, what price in high-risk patients? Lars G. Svensson, MD, PhD The Journal of Thoracic and.

Richard J. Myung, MD, Michael E. Halkos, MD, John D. Puskas, MD

The Arterial Switch Procedure: Closed Coronary Artery Transfer

Ross operation or aortic valve repair in neonates and infants?

The American Association for Thoracic Surgery 2016 Ethics Forum: Cost-effectiveness and the ethics of left ventricular assist device therapy John W.C.

Pierre-Yves Litzler, MD, PhD, Hassiba Smail, MD

Extra-anatomic Bypass Graft for Recurrent Aortic Arch Obstruction

Operative Techniques in Thoracic and Cardiovascular Surgery

Daniel R. Wong, MD, MPH, Jian Ye, MD, Anson Cheung, MD, John G

Alan P. Kypson, MD, David W. Frazier, MD, Jon F. Moran, MD

Anomalous aortic origin of a coronary artery in the Ross operation: Attention to minor details averts major problems Igor E. Konstantinov, MD, PhD, FRACS

CD133+ cells: How could they have an IMPACT?

Transapical transcatheter aortic valve-in-valve implantation: Clinical and hemodynamic outcomes beyond 2 years Jian Ye, MD, FRCSC, John G. Webb, MD,

Michael J. Davidson, MD, Frederick G. P. Welt, MD, Andrew C

Mitral Annuloplasty Using A Biodegradable Annuloplasty Ring

Repair of Intramural Coronary Artery in Anomalous Aortic Origin of a Coronary Artery Yasuhiro Kotani, MD, PhD, Shunji Sano, MD, PhD, Shingo Kasahara,

Transapical transcatheter aortic valve implantation and off-pump left internal thoracic artery–left anterior descending anastomosis: Back to the future?

Less Invasive Coronary Surgery: Consensus From the Oxford Meeting

Minimally Invasive Aortic Valve Replacement

Idiopathic Hypertrophic Subaortic Septal Obstruction: Robotic Transatrial and Transmitral Ventricular Septal Resection W. Randolph Chitwood, MD, FACS,

Reoperative “valve-in-valve” transapical transcatheter mitral valve replacement in a high-risk patient with a recent transapical transcatheter aortic.

Jessica Forcillo, MD, MSc, Yazan M. Duwayri, MD, William D

Real-time magnetic resonance imaging–guided transcatheter aortic valve replacement Justin G. Miller, MD, Ming Li, PhD, Dumitru Mazilu, PhD, Tim Hunt,

Aortic valve implantation with the CoreValve ReValving System via left carotid artery access: First case report Thomas Modine, MD, Gilles Lemesle, MD,

Aortic Root Enlargement in the Adult

Intraoperative occlusion of left coronary ostium after aortic repair detected by transesophageal echocardiography Kazumasa Orihashi, MD, Taiichi Takasaki,

Transcatheter valve-in-valve implantation for the treatment of stentless aortic valve dysfunction Josep Rodés-Cabau, MD, FESC, Eric Dumont, MD, Daniel.

Aortic Valve Insufficiency: Leaflet Reconstruction Techniques

Nikaidoh vs Réparation à l'Etage Ventriculaire vs Rastelli

Simultaneous transapical transcatheter aortic and mitral valve replacement in a high-risk patient with a previous mitral bioprosthesis Adil H. Al Kindi,

Transapical transcatheter aortic valve implantation: 1-year outcome in 26 patients Jian Ye, MD, Anson Cheung, MD, Samuel V. Lichtenstein, MD, PhD, Lukas.

Support Your Specialty

Transcatheter aortic valve replacement in intermediate-risk patients

Early experience with the transaortic approach for transcatheter aortic valve implantation Gopal Soppa, MRCS, PhD, David Roy, MD, Stephen Brecker, FRCP,

Michele Gallo, MD, Gino Gerosa, MD

Spindle Cell Sarcoma of the Mitral Valve: An Unusual Cause of Acute Coronary Syndrome in a Child Thomas Martens, MD, Kristof Vandekerckhove, MD, Katrien.

Patch Enlargement of the Aortic Annulus using the Manouguian Technique

The aortic valve–sparing operation

Alternative access for balloon-expandable transcatheter aortic valve replacement: Comparison of the transaortic approach using right anterior thoracotomy.

Biologic versus Mechanical Valve Replacement of the Pulmonary Valve After Multiple Reconstructions of the RVOT Tract S. Adil Husain, MD, John Brown,

Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD

Use of balloon expandable transcatheter valves for valve-in-valve implantation in patients with degenerative stentless aortic bioprostheses: Technical.

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Guidelines should bother us, not comfort us

Cardiac surgery in patients with a porcelain aorta

Commentary: Bioprosthetic aortic valve replacement: A high standard of comparison for transcatheter aortic valve implantation Aaron Martin, MD, Michael.

Aortic valve replacement for a case of anomalous origin of the left coronary artery from posterior sinus of Valsalva with intramural aortic course Naoto.

Left Main Coronary Artery Occlusion After Percutaneous Aortic Valve Implantation Antonio L. Bartorelli, MD, Daniele Andreini, MD, Erminio Sisillo, MD,

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

Homograft valve repair for recurrent prosthetic valve endocarditis

Transcutaneous aortic valve implantation using the axillary/subclavian access with patent left internal thoracic artery to left anterior descending artery:

Novel treatment for critical aortic stenosis with severe aortic root calcification and coronary disease: Combined left internal thoracic artery graft.

Seeing is believing: A call for routine early postoperative hemodynamic transesophageal echocardiography monitoring after left ventricular assist device.

Transapical Arterial Cannulation for Salvage Cardiopulmonary Bypass in Transcatheter Aortic Valve Replacement Derek R. Brinster, MD, Jay A. Patel, Harry.

Transcatheter aortic and mitral valve implantation in bioprosthetic valves: When one correction is not enough Adanna C. Akujuo, MD, FACS, Sophia L. Dellis,

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Implantation of a Sapien XT aortic bioprosthesis with the NovaFlex catheter through a subclavian access Bertrand Marcheix, MD, PhD, Etienne Grunenwald,

Transcatheter Aortic Valve Replacement via Left Anterior Thoracotomy in a Patient With Severe Pectus Excavatum Dan Loberman, MD, Taufiek Konrad Rajab,

Lessons learned from Melody valve retrieved at transplantation

Feasibility of transapical aortic valve implantation guided by intracardiac ultrasound without angiography Enrico Ferrari, MD, Carlo Marcucci, MD, Stefano.

Resolution of Heart Block After Surgical Correction of Failed Transcatheter Aortic Valve Implantation Alexander Weymann, MD, Nikhil Prakash Patil, MRCS,

Presentation transcript:

Transapical Transcatheter Aortic Valve Implantation Yanai Ben-Gal, MD, Mathew Williams, MD Operative Techniques in Thoracic and Cardiovascular Surgery Volume 16, Issue 1, Pages 41-61 (March 2011) DOI: 10.1053/j.optechstcvs.2010.12.004 Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 1 Hybrid OR setup for TA-AVI. TEE = transesophageal echocardiograph. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 2 Patient positioning. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 3 Patient draping and positioning. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 4 (A, B) Fluoroscopic estimation of cardiac apex location. (C) Aortic “root shot” for appropriate deployment view. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 5 Left anterior thoracotomy. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 6 Soft tissue retractor and pericardial traction stitches. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 7 It is possible to add a small rigid retractor. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 8 Purse-string position on cardiac apex. LAD = left anterior descending coronary artery. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 9 Deep needle bites required. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 10 (A) Purse-string configuration on cardiac apex. (B) Ascendra balloon valvuloplasty catheter. (C) Ascendra valve deployment catheter. (Color version of figure is available online at http://www.optechtcs.com.) Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 11 Correct valve orientation for TA-AVI. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 12 Needle and wire introduction. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 13 Wire advancement. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 14 Introducer sheath advancement. (Color version of figure is available online at http://www.optechtcs.com.) Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 15 Valvuloplasty balloon positioning. (A) White arrow demarcates calcified aortic valve. (B) Valvuloplasty. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 16 Hemodynamic tracing during valvuloplasty and also during valve deployment. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 17 Valve loader. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 18 Loading the valve into introducer sheath. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 19 Valve positioning. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 20 Fine positioning (after pusher rod retrieved into introducer). Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 21 Valve deployment in stages. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 22 Final aortography. Operative Techniques in Thoracic and Cardiovascular Surgery 2011 16, 41-61DOI: (10.1053/j.optechstcvs.2010.12.004) Copyright © 2011 Elsevier Inc. Terms and Conditions