Cor Vasa 2010, 52(10):622-626 | DOI: 10.33678/cor.2010.159

Subclavian approach to catheter-based aortic valve replacement - TAVI

Katarína Martiaková^1,*, Jaroslav Januška¹, Radoslav Šolek², Marian Branny¹

¹ Oddělení kardiologie, Kardiocentrum, Nemocnice Podlesí, a. s., Třinec

² Centrum cévní a miniinvazivní chirurgie, Nemocnice Podlesí, a. s., Třinec, Česká republika

Aortic stenosis is the most common valvular heart disease. Its prevalence increases with age and affects approximately 3% of the population older than 75 year of age. Patients of this age with comorbidities present a medical problem for high risk surgical complications. Nowadays, an alternative way of surgical intervention is transcatheter aortic valve replacement through the apical, antegrade or retrograde approach. The standard retrograde approach through the femoral artery is contraindicated in cases of unfavourable anatomy or extensive peripheral artery disease. In these patients, a trans-subclavian retrograde approach may be a feasible, safe and effective alternative.
The aim of this article is to report the case of a symptomatic patient with critical aortic stenosis in whom transcatheter aortic valve implantation was performed through the left subclavian artery.

Keywords: Aortic stenosis; Transcatheter implantation of aortic valve prosthesis; Catheter-based implantation of aortic valve prosthesis; Catheter-based aortic valve replacement; Subclavian approach; Transaxillary approach

Published: October 1, 2010  Show citation