Dandale Rajesh M, Pesarini Gabriele, Santini Francesco, Molinari Gionata, Rossi Andrea, Milano Aldo, Faggian Giuseppe, Vassanelli Corrado, Ribichini Flavio
The Department of Medicine, University of Verona, 37126 Verona, Italy.
Cardiovasc Revasc Med. 2012 May-Jun;13(3):203.e5-8. doi: 10.1016/j.carrev.2012.02.004. Epub 2012 Apr 18.
Transcatheter aortic valve implantation (TAVI) has nowadays been introduced as an alternative for surgical aortic valve replacement as a treatment for high risk aortic stenosis patients. This procedure is not free of complications: the SOURCE registry, indeed, showed that vascular complications are more frequent with the transfemoral approach. We present the case of an 82-year-old man with known history of severe aortic stenosis at high-risk for surgery. Pre-TAVI screening shows bilateral severely tortuous iliac arteries and aorto-bi-iliac endoprosthesis. Transapical TAVI as a first choice was rejected due to severe lung disease. The patient was then treated by Transfemoral TAVI using a dedicated interventional technique that is described in this case-report.
经导管主动脉瓣植入术（TAVI）如今已被引入，作为高危主动脉瓣狭窄患者外科主动脉瓣置换术的一种替代治疗方法。该手术并非没有并发症：事实上，SOURCE注册研究表明，经股动脉途径的血管并发症更为常见。我们报告一例82岁男性患者，有严重主动脉瓣狭窄病史，手术风险高。TAVI术前筛查显示双侧髂动脉严重迂曲，且存在主动脉-双髂动脉内假体。由于严重肺部疾病，经心尖TAVI作为首选被排除。然后，采用本病例报告中描述的一种专门的介入技术，经股动脉TAVI对该患者进行了治疗。
