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Open Access 01-12-2018 | Case report

Supraclavicular Subclavian access for Sapien Transcatheter aortic valve replacement- a novel approach

Authors: Thom G. Dahle, Nathaniel J. Castro, Brian M. Stegman, Jacob R. Dutcher, John M. Teskey, Wade T. Schmidt, Daren S. Danielson, Sara J. Dezell, Virginia B. Daniels, Daniel J. Tiede

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

Abstract

Background

Within the trans-subclavian approach, procedural techniques can vary widely, and reported access generally refers to an infraclavicular axillary approach. We describe and report the use of a novel supraclavicular true subclavian approach for transcatheter aortic valve replacement (TAVR) exclusively for implantation of Sapien 3 valves.

Case presentation

We report our first five consecutive patients undergoing TAVR with a Sapien 3 valve using a standardized subclavian approach at a single center. In-hospital and 30-day complications were reported. The use of this approach resulted in successful implantation in 100% of patients in a safe manner with 0% mortality, stroke, and vascular injury during hospitalization and at 30 day follow-up. The in-hospital pacemaker implantation rate was 20%. The average length of stay was 3 days.

Conclusions

TAVR with Sapien implant can be safely performed with a standardized supraclavicular subclavian approach in patients with unfavorable femoral access.

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Title: Supraclavicular Subclavian access for Sapien Transcatheter aortic valve replacement- a novel approach
Authors: Thom G. Dahle
Nathaniel J. Castro
Brian M. Stegman
Jacob R. Dutcher
John M. Teskey
Wade T. Schmidt
Daren S. Danielson
Sara J. Dezell
Virginia B. Daniels
Daniel J. Tiede
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-018-0706-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Supraclavicular Subclavian access for Sapien Transcatheter aortic valve replacement- a novel approach

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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