PMID- 31416046
OWN - NLM
STAT- MEDLINE
DCOM- 20200323
LR  - 20200323
IS  - 1557-2501 (Electronic)
IS  - 1042-3931 (Linking)
VI  - 31
IP  - 10
DP  - 2019 Oct
TI  - Feasibility of Transfemoral Aortic Valve Implantation in Patients With Aortic 
      Disease and Simultaneous or Sequential Endovascular Aortic Repair.
PG  - 289-295
LID - JIC2019815-2 [pii]
AB  - OBJECTIVES: The transfemoral approach for transcatheter aortic valve implantation 
      (TF-TAVI) is associated with a significant survival benefit for intermediate and 
      high-risk patients. Due to the increased procedural risk, many operators avoid 
      TF-TAVI in patients with aortic disease. Moreover, significant 
      peri-interventional device interaction may occur in patients with previous 
      endovascular aortic repair (EVAR). We evaluated the feasibility of TF-TAVI in 
      patients with aortic disease in combination with simultaneous or sequential EVAR. 
      METHODS: Data from 15 TF-TAVI patients with concomitant aortic disease treated 
      between 2009 and 2019 in three German heart centers representing 4410 TAVI 
      procedures were analyzed. RESULTS: Two patients with progressive penetrating 
      atherosclerotic ulcers (PAUs) in the descending thoracic aorta underwent 
      sequential and simultaneous thoracic EVAR (TEVAR), respectively. One patient with 
      stable PAU and 4 patients with not yet relevant abdominal aortic aneurysm (AAA) 
      underwent isolated TF-TAVI. One patient with relevant AAA underwent TF-TAVI and 
      sequential EVAR. Seven patients with previous EVAR due to an AAA underwent 
      TF-TAVI (5 with a bifurcated graft and 2 with a straight graft). TF-TAVI and 
      sequential or simultaneous TEVAR were technically successful in all patients. 
      Vascular complications occurred in 1 patient. One patient died within 30 days and 
      2 patients died within 12 months. CONCLUSION: TF-TAVI can be performed 
      successfully in patients with aortic disease or previous endovascular aortoiliac 
      intervention. Simultaneous and sequential (T)EVAR is feasible.
FAU - Patsalis, Polykarpos C
AU  - Patsalis PC
AD  - Heart Center Bergmannsheil, Department of Cardiology and Angiology, Ruhr 
      University Bochum, Burkle-de-la-Camp-Platz 1, 44789 Bochum, Germany. 
      polykarpos.patsalis@bergmannsheil.de.
FAU - Alotaibi, Sultan
AU  - Alotaibi S
FAU - Wolf, Alexander
AU  - Wolf A
FAU - Scholtz, Werner
AU  - Scholtz W
FAU - Kloppe, Axel
AU  - Kloppe A
FAU - Plicht, Bjorn
AU  - Plicht B
FAU - Buck, Thomas
AU  - Buck T
FAU - Haldenwang, Peter Lukas
AU  - Haldenwang PL
FAU - Strauch, Justus Thomas
AU  - Strauch JT
FAU - Nicolas, Volkmar
AU  - Nicolas V
FAU - Rudolph, Volker
AU  - Rudolph V
FAU - Mugge, Andreas
AU  - Mugge A
FAU - Naber, Christoph K
AU  - Naber CK
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20190815
PL  - United States
TA  - J Invasive Cardiol
JT  - The Journal of invasive cardiology
JID - 8917477
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Aorta, Thoracic
MH  - Aortic Diseases/*complications/diagnosis/*surgery
MH  - Aortic Valve Stenosis/complications/diagnosis/*surgery
MH  - Endovascular Procedures/*methods
MH  - Feasibility Studies
MH  - Female
MH  - Femoral Artery
MH  - Follow-Up Studies
MH  - Germany/epidemiology
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - Survival Rate/trends
MH  - Tomography, X-Ray Computed
MH  - Transcatheter Aortic Valve Replacement/*methods
OTO - NOTNLM
OT  - aortic disease
OT  - aortic valve stenosis
OT  - percutaneous intervention
EDAT- 2019/08/16 06:00
MHDA- 2020/03/24 06:00
CRDT- 2019/08/16 06:00
PHST- 2019/08/16 06:00 [pubmed]
PHST- 2020/03/24 06:00 [medline]
PHST- 2019/08/16 06:00 [entrez]
AID - JIC2019815-2 [pii]
PST - ppublish
SO  - J Invasive Cardiol. 2019 Oct;31(10):289-295. Epub 2019 Aug 15.