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KMID : 0368120120420110796
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Korean Circulation Journal
2012 Volume.42 No. 11 p.796 ~ p.799
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The First Korean Patient With Severe Aortic Stenosis and Bilateral Iliofemoral Artery Disease Treated With Transcatheter Aortic Valve Implantation by Transsubclavian Approach
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Lee Seung-Jun
Ko Young-Guk
Shim Ji-Young
Lee Sak
Chang Byung-Chul
Shim Jae-Kwang
Kwak Young-Ran
Hong Myeong-Ki
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Abstract
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Transcatheter aortic valve implantation (TAVI) is indicated as an alternative treatment modality to surgical aortic valve replacement for high risk patients. The standard retrograde approach through the femoral artery is not feasible in the case of unfavorable iliofemoral anatomy or severe peripheral arterial disease (PAD). However, patients with aortic stenosis (AS) have a higher prevalence of for PAD because both diseases are consequences of atherosclerotic degenerative changes. Transsubclavian, transapical, and direct access to the ascending aorta by thoracotomy are alternative routes for the TAVI procedure. In this report, we present the first Korean patient with symptomatic severe AS and bilateral iliofemoral artery disease who was successfully treated with TAVI using a CoreValve (Medtronic, Minneapolis, MN, USA) by transsubclavian approach.
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KEYWORD
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Aortic valve stenosis, Catheters, Heart valve prosthesis, Prosthesis implantation
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