Litoplastía iliaco-femoral para implante transcatéter de válvula aórtica
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2020Metadata
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Veas, Nicolás
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Litoplastía iliaco-femoral para implante transcatéter de válvula aórtica
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Abstract
Transcatheter aortic valve implantation (TAVI) has a lower perioperative risk than traditional surgery mostly when the transfemoral access is used. Some patients have anatomical conditions that contraindicate the use of this route. Lithoplasty is a novel technique that fractures calcium in coronary and peripheral arteries using pulsatile waves transmitted through an angioplasty balloon. We report an 83 year-old male with an aortic stenosis requiring TAVI, with severe calcification of his femoral and aortic arteries. A balloon lithoplasty of the right iliac-femoral tract was carried out, which allowed the use of the transfemoral route to install the aortic prosthesis. The patient had a good subsequent evolution.
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URI: https://repositorio.uchile.cl/handle/2250/176689
DOI: 10.4067/s0034-98872020000400548
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Rev Med Chile 2020; 148: 548-552
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