J Transcat Intervent.2020;28:eA20190024.
Transcatheter aortic valve replacement – initial experience with alternative access via brachiocephalic trunk
Eduardo França Pessoa de Melo
, Fernando Moraes Neto, José Breno de Sousa Neto, Leonardo Viana de Brito, Carlos Eduardo Gordilho Santos, José Breno de Sousa Filho
DOI: 10.31160/JOTCI202028A20190024
ABSTRACT
Transcatheter aortic valve replacement is indicated as an alternative to conventional surgical treatment for elderly patients with low, moderate, and high surgical risk, or as the best therapeutic strategy for patients considered inoperable. The transfemoral vascular access is the preferred route for replacement. However, in a small portion of the population, this access is not possible for anatomical reasons. Access through the brachiocephalic trunk may be an option in specific cases. Nevertheless, data on feasibility and safety of this approach are still scarce in the literature. This report describes an initial experience with suprasternal brachiocephalic access through dissection and arterial puncture under direct visualization.
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