Suprasternal and Left Axillary Transcatheter Aortic Valve Replacement in Morbidly Obese Patients.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30009800.
- Also identified by DOI 10.1016/j.athoracsur.2018.05.095.
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Abstract
In morbidly obese patients who cannot undergo transfemoral, transaortic, or transapical transcatheter aortic valve replacement (TAVR) due to body habitus, suprasternal (SS) and left subclavian/axillary artery (LSCLA) approaches may provide safe TAVR access. Nine morbidly obese patients with a body mass index of 35 or more underwent SS-TAVR (7 patients) or LSCLA-TAVR (2 patients) at two institutions from 2015 to 2017. Mean age was 69.4 ± 7.3 years, and mean body mass index was 50.3 ± 10.6. There were no deaths, valve reinterventions, or reoperations. Three patients required new pacemakers. In morbidly obese patients who are not candidates for the other approaches, SS-TAVR and LSCLA-TAVR allow easier vascular access and prevent the need for thoracotomy or sternotomy.
Medical subject headings
- Aortic Valve Stenosis
- Transcatheter Aortic Valve Replacement