“Double-Stick” Transsubclavian Transcatheter Aortic Valve Replacement With Use of a Balloon Expandable Valve: A Less Invasive Option for Alternative Access

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Presentation transcript:

“Double-Stick” Transsubclavian Transcatheter Aortic Valve Replacement With Use of a Balloon Expandable Valve: A Less Invasive Option for Alternative Access Craig M. Jarrett, MD, MBA, Marc Pelletier, MD, MS, Pinak B. Shah, MD, Tsuyoshi Kaneko, MD The Annals of Thoracic Surgery Volume 104, Issue 2, Pages e195-e197 (August 2017) DOI: 10.1016/j.athoracsur.2017.02.064 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Two 6F sheaths inserted into left subclavian artery. The Annals of Thoracic Surgery 2017 104, e195-e197DOI: (10.1016/j.athoracsur.2017.02.064) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Two 6F sheaths inserted through separate skin stab incisions lateral to original 6-cm incision in deltopectoral groove. The Annals of Thoracic Surgery 2017 104, e195-e197DOI: (10.1016/j.athoracsur.2017.02.064) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 16F Commander sheath exchanged for one of the 6F sheaths. The Annals of Thoracic Surgery 2017 104, e195-e197DOI: (10.1016/j.athoracsur.2017.02.064) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions