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A.A. Klein, S.T. Webb, S. Tsui, C. Sudarshan, L. Shapiro, C. Densem 

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Presentation on theme: "A.A. Klein, S.T. Webb, S. Tsui, C. Sudarshan, L. Shapiro, C. Densem "— Presentation transcript:

1 Transcatheter aortic valve insertion: anaesthetic implications of emerging new technology 
A.A. Klein, S.T. Webb, S. Tsui, C. Sudarshan, L. Shapiro, C. Densem  British Journal of Anaesthesia  Volume 103, Issue 6, Pages (December 2009) DOI: /bja/aep311 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Transcatheter aortic valve (Edwards-Sapien valve, Edwards Lifesciences Inc., IR, USA)—valve is mounted in stent, ready to be crimped before delivery. Valve is pictured next to a one pence coin. British Journal of Anaesthesia  , DOI: ( /bja/aep311) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Transcatheter aortic valve (CoreValve Revalving System, Medtronic, MN, USA). British Journal of Anaesthesia  , DOI: ( /bja/aep311) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Angiogram showing tortuous femoral and iliac arteries; this patient would not be suitable for transfemoral transcatheter aortic valve insertion. British Journal of Anaesthesia  , DOI: ( /bja/aep311) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

5 Fig 4 Fluorogram taken during procedure, demonstrating balloon being blown up to expand stent and valve during actual valve deployment by the transfemoral (retrograde) approach. The patient has had a previous sternotomy (the sternal wires can be seen). The valve being deployed is the Edwards-Sapien valve. British Journal of Anaesthesia  , DOI: ( /bja/aep311) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

6 Fig 5 Fluorogram taken after transapical deployment of transcatheter aortic valve. Contrast has been injected into the ascending aorta (aortogram), and there is no regurgitation into the left ventricle, demonstrating valvular competency. The valve being deployed is the Edwards-Sapien valve. British Journal of Anaesthesia  , DOI: ( /bja/aep311) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions


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