We chose the transfemoral approach as the first option when patients did not have an excessively narrow access route for insertion of the sheath or aortic arch atheroma. We performed TAVI under general anesthesia in a hybrid operating room, except for six patients who underwent conscious sedation because of pulmonary dysfunction. Transcatheter heart valves were classified as balloonexpandable (Edwards Sapien XT or Sapien 3 Transcatheter Heart Valve; Edwards Lifesciences, Irvine, CA, USA) or self-expandable (Medtronic classic CoreValve or CoreValve Evolut R/ Pro/Pro + ; Medtronic, Inc., Minneapolis, MN, USA). Balloon-expandable valves were the first choice, and self-expandable valves were reserved for patients with a narrow aortic annulus and/or in the case of the trans-subclavian approach.
Corevalve evolut r pro pro
Manufactured by Medtronic
Sourced in United States
The CoreValve Evolut R/ Pro/Pro + is a transcatheter aortic valve replacement (TAVR) system developed by Medtronic. It is designed to be used in the treatment of severe aortic stenosis. The device is delivered through a minimally invasive procedure and is intended to replace the patient's diseased aortic valve.
Automatically generated - may contain errors
2 protocols using corevalve evolut r pro pro
1
Transfemoral TAVI Approach Protocols
2
Transcatheter Aortic Valve Implantation
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We selected transfemoral approach as our first option and an alternative access (transapical, transaortic, transsubclavian) for patients with excessively narrow access routes or aortic arch atheroma. We performed TAVI in a hybrid operating room under general anesthesia, except for eight patients who underwent conscious sedation because of pulmonary dysfunction. Transcatheter heart valves were used either balloon-expandable (Edwards Sapien XT or Sapien 3 Transcatheter Heart Valve; Edwards Lifesciences, Irvine, CA, USA) or self-expandable (Medtronic classic CoreValve or CoreValve Evolut R/Pro/Pro+; Medtronic, Inc., Minneapolis, MN, USA). We chose Balloon-expandable valves as the first option, while self-expandable valves were reserved for patients with a narrow aortic annulus.
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