Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2019; 08(01): e5-e7
DOI: 10.1055/s-0038-1676963
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Internal Endoconduit Technique during Transcatheter Aortic Valve Implantation

Osamu Sakai
1   Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
,
Katsuhiko Oka
1   Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
,
Tomoya Inoue
1   Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
,
Hitoshi Yaku
1   Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
› Author Affiliations
Further Information

Publication History

23 April 2018

02 October 2018

Publication Date:
11 January 2019 (online)

   Permissions and Reprints

Abstract

The transfemoral approach is the least invasive transcatheter aortic valve implantation (TAVI) approach, but the diameter of the iliofemoral arteries needs to exceed 5 mm. We report a case of limited access transfemoral TAVI by the “internal endoconduit technique,” which is well known as a safe and effective dilatational technique for thoracic endovascular aortic repair. Subsequently, we could deliver the device without iliac artery injury and we performed transfemoral TAVI.

Keywords

valvular surgery - aortic valve - TAVI - peripheral vascular disease
 

  • References

  • 1 Toggweiler S, Leipsic J, Binder RK. , et al. Management of vascular access in transcatheter aortic valve replacement: part 2: vascular complications. JACC Cardiovasc Interv 2013; 6 (08) 767-776
    CrossrefPubMedGoogle Scholar
  • 2 Hayashida K, Lefèvre T, Chevalier B. , et al. Transfemoral aortic valve implantation new criteria to predict vascular complications. JACC Cardiovasc Interv 2011; 4 (08) 851-858
    CrossrefPubMedGoogle Scholar
  • 3 Peterson BG, Matsumura JS. Internal endoconduit: an innovative technique to address unfavorable iliac artery anatomy encountered during thoracic endovascular aortic repair. J Vasc Surg 2008; 47 (02) 441-445
    CrossrefPubMedGoogle Scholar
  • 4 Kpodonu J, Rodriguez-Lopez JA, Ramaiah VG, Diethrich EB. “Cracking and paving”: a novel technique to deliver a thoracic endograft despite ilio-femoral occlusive disease. J Card Surg 2009; 24 (02) 188-190
    CrossrefPubMedGoogle Scholar
  • 5 van Bogerijen GHW, Williams DM, Eliason JL, Dasika NL, Deeb GM, Patel HJ. Alternative access techniques with thoracic endovascular aortic repair, open iliac conduit versus endoconduit technique. J Vasc Surg 2014; 60 (05) 1168-1176
    CrossrefPubMedGoogle Scholar
  • 6 Murakami T, Takahashi Y, Nishimura S. , et al. Endoconduit for transcatheter aortic valve implantation. Ann Thorac Cardiovasc Surg 2018; DOI: 10.5761/atcs.cr.17-00204.
    CrossrefPubMedGoogle Scholar