The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Plug-based closure in completely percutaneous right-sided transaxillary transcatheter aortic valve implantation

EuroIntervention 2019;15:76-77. DOI: 10.4244/EIJ-D-18-00700

1. Department of Cardiology, University Medical Center Rotterdam, Rotterdam, the Netherlands


Figure 1. Planning and performing plug-based closure in percutaneous right-sided transaxillary TAVI. A) No safe femoral access due to small diameters. B) Right subclavian artery. C) Result after successful LM stenting. D) Post-deployment angiography of the CoreValve Evolut R XL. E) Puncture location dilator (1); delivery system (2); closing unit (3); dedicated MANTA sheath and introducer (4). F) Final angiography after MANTA closure. *Endoluminal bioresorbable toggle

An 82-year-old male patient was referred to our hospital because of dyspnoea on minimal exertion. Diagnostic investigations showed a severe aortic valve and distal left main (LM) stenosis. A multislice computed tomography scan demonstrated no safe femoral ...

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