dc.contributor.author |
Belluschi, Igor |
|
dc.contributor.author |
Buzzatti, Nicola |
|
dc.contributor.author |
Romano, Vittorio |
|
dc.contributor.author |
De Backer, Ole |
|
dc.contributor.author |
Søndergaard, Lars |
|
dc.contributor.author |
Karády, Júlia |
|
dc.contributor.author |
Maurovich-Horvat, Pál |
|
dc.contributor.author |
Rahgozar, Kusha |
|
dc.contributor.author |
De Bonis, Michele |
|
dc.contributor.author |
Castiglioni, Alessandro |
|
dc.contributor.author |
Colombo, Antonio |
|
dc.contributor.author |
Alfieri, Ottavio |
|
dc.contributor.author |
Montorfano, Matteo |
|
dc.contributor.author |
Latib, Azeem |
|
dc.date.accessioned |
2023-08-16T06:47:50Z |
|
dc.date.available |
2023-08-16T06:47:50Z |
|
dc.date.issued |
2021 |
|
dc.identifier.citation |
journalVolume=16;journalIssueNumber=18;journalTitle=EUROINTERVENTION;pagerange=e1533-e1540;journalAbbreviatedTitle=EUROINTERVENTION; |
|
dc.identifier.uri |
http://repo.lib.semmelweis.hu//handle/123456789/8290 |
|
dc.description.abstract |
Aims:TAVI expansion will imply an increase in the frequency of emergent or late cardiac surgery after THV implantation. This study was designed to investigate the anatomical feasibility of surgical cross-clamp and aortotomy after TAVI through a post-TAVI CT-scan assessment. Methods and results:We retrospectively analyzed 117 CTs acquired after TAVI procedures with high stent prostheses in three high-volume centers between October 2008 and May 2017.The mean distance observed between the innominate artery and the top of the transcatheter heart valve was 45 ± 11 mm, being < 30 mm in 8/117 (6.8%) patients and < 20 mm in none. The mean distance between the sino-tubular junction and the first free site for aortotomy being 22 ± 7 mm (> 20 mm in 78/117 [66.7%] cases). A total of 56/117 (47.9%) patients showed a complete continuous contact between the anterior aortic wall and the anterior part of the valve stent. Conclusions:Aortic cross-clamp appears to not be an issue when cardiac surgery is needed after a TAVI, but a careful and possibly higher aortotomy may be required. CT should be performed prior to planned cardiac surgery after TAVI to determine a safe positioning for aortic cross-clamp and aortotomy. |
|
dc.format.extent |
1-6 |
|
dc.relation.ispartof |
urn:issn:1774-024X |
|
dc.title |
CT-scan theoretical analysis for aortic cross-clamp and opening after transcatheter aortic valve implantation |
|
dc.type |
Journal Article |
|
dc.date.updated |
2020-05-21T11:56:10Z |
|
dc.language.rfc3066 |
en |
|
dc.rights.holder |
NULL |
|
dc.identifier.mtmt |
31963283 |
|
dc.contributor.institution |
Orvosi Képalkotó Klinika |
|
dc.contributor.institution |
Doktori Iskola |
|
dc.contributor.institution |
Kardiológia Központ - Kardiológiai Tanszék |
|
dc.contributor.institution |
Semmelweis Egyetem |
|
dc.contributor.institution |
Kardiológia Központ - Kardiológiai Tanszék |
|
dc.contributor.institution |
Kardiológia Központ - Kardiológiai Tanszék |
|
dc.contributor.institution |
MTA-SE Lendület Kardiovaszkuláris Képalkotó Kutatócsoport |
|