Management of Transcatheter Aortic Valve Implantation and Complex Aorta Anatomy: The Importance of Pre-Procedural Planning

Alfredo Intorcia, Vittorio Ambrosini, Michele Capasso, Riccardo Granata, Fabio Magliulo, Giannignazio Luigi Carbone, Stefano Capobianco, Francesco Rotondi, Francesca Lanni, Fiore Manganelli and Emilio Di Lorenzo
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Alfredo Intorcia: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Vittorio Ambrosini: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Michele Capasso: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Riccardo Granata: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Fabio Magliulo: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Giannignazio Luigi Carbone: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Stefano Capobianco: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Francesco Rotondi: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Francesca Lanni: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Fiore Manganelli: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy
Emilio Di Lorenzo: Department of Cardiology and Cardiovascular Surgery, “San Giuseppe Moscati” Hospital, 83100 Avellino, Italy

IJERPH, 2022, vol. 19, issue 8, 1-6

Abstract: Aortic stenosis is the most common primary valve lesion requiring surgery or, especially for older patients, transcatheter intervention (TAVI). We showcase a successful transfemoral TAVI procedure in a very high-risk patient and an extremely tortuous S-shaped descending aorta, characterized by heavy calcifications and multiple strong resistance points. We demonstrated that transfemoral TAVI using the “buddy stiff guidewire” technique could be a feasible, simple, quick, and easy procedure able to straighten an extremely abdominal aorta tortuosity. With all techniques available and careful pre-procedural planning, and thanks to the flexibility of new generation TAVI delivery systems, it is possible to safely perform the procedure even in the most challenging patients.

Keywords: transcatheter aortic valve implantation; S-shaped Aorta; aorta tortuosity; buddy wire technique (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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