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

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Presentation on theme: "Implantation of a Sapien XT aortic bioprosthesis with the NovaFlex catheter through a subclavian access  Bertrand Marcheix, MD, PhD, Etienne Grunenwald,"— Presentation transcript:

1 Implantation of a Sapien XT aortic bioprosthesis with the NovaFlex catheter through a subclavian access  Bertrand Marcheix, MD, PhD, Etienne Grunenwald, MD, Didier Carrie, MD, PhD, Nicolas Dumonteil, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 143, Issue 3, Pages (March 2012) DOI: /j.jtcvs Copyright © Terms and Conditions

2 Figure 1 A, Multislice computed tomography showing calcified iliofemoral vessels (red arrow, ostia of the primary iliac arteries; yellow arrow, primary iliac arteries; green arrows, external iliac arteries). B, Multislice computed tomographic reconstruction showing left axillary artery (red arrow). C, Multislice computed tomographic reconstruction showing left axillary artery (red arrow). D, Multislice computed tomography demonstrating the aortic annulus, the ascending aorta, the aortic arch, and the ostium of the left subclavian artery. E, Multislice computed tomographic reconstruction demonstrating the distance between the aortic annulus (red arrow) and the ostium of the left subclavian artery (green arrow). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

3 Figure 2 A, A 19F sheath (red arrow) with its dilator introduced into the left axillary subclavian artery over the stiff wire. B, Alignment of the Sapien XT prosthesis (red arrow; Edwards Lifesciences, Inc, Irvine, Calif) on the NovaFlex balloon catheter (blue arrow; Edwards Lifesciences) inside the ascending aorta and the aortic arch. C, Final angiographic control examination after implantation of the 26-mm Sapien XT prosthesis showing optimal positioning, with no significant paravalvular leakage. D, Final angiographic control of the left subclavian axillary artery after withdrawal of the 19F sheath, showing neither dissection nor arterial injury. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

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