Simultaneous transcatheter aortic valve replacement and endovascular repair for critical aortic stenosis and large abdominal aortic aneurysm

Aluko, Yele; Diehl, Lance; Jacoby, R K; Chan, Barry; Andrews, S. M.; McMillan, Edward; Sharkey, Kevin; Shook, Paul; Ntim, William O.; Bolorunduro, Oluwaseyi; Sossoman, Leslie Beth; Rabb, Cathy

doi:10.1016/j.carrev.2014.12.001

Cited by 12 publications

(8 citation statements)

References 5 publications

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“…A series of case reports described simultaneous TAVR and endovascular aortic repair in patients with large AAA and confirmed its feasibility [[23], [24], [25], [26], [27]]. The annual risk of rupture in patients with AAA between 5.0 to 6.9 cm is 3.0–20.0 % (28).…”

Section: Discussionmentioning

confidence: 95%

Impact of aortic aneurysms in trans-catheter aortic valve replacement: A single center experience

Kobayashi

Lazkani

Moualla

et al. 2018

Indian Heart Journal

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BackgroundPatients who undergo trans-catheter aortic valve replacement (TAVR) may have concomitant aortic aneurysms. We sought to clarify the incidence of aortic aneurysms and its impact on clinical outcomes among patients undergoing TAVR.MethodsWe performed a retrospective analysis of patients with severe symptomatic aortic stenosis who underwent TAVR from January 2012 to June 2016. Multi-detector computer tomography (MDCT) was performed on all patients and images were reviewed to identify thoracic and abdominal aortic aneurysms (TAA and AAA). The incidence of vascular complications (VARC-2 definition), and in-hospital and 6-month major adverse cardiac events (MACE) defined as a composite of all-cause mortality, cardiac arrest, myocardial infarction, and stroke were recorded.ResultsAmong 232 patients included in the analysis, 22 patients (9.5%) had aortic aneurysms (11 had AAA, 8 had TAA, and 3 had both). Patients with aortic aneurysms had a higher, albeit statistically insignificant, rate of smoking history (63.6% vs. 42.9%, p = 0.062). Both groups of patient predominantly underwent TAVR via trans-femoral access (72.7% vs. 71.4%, p = 0.90). The incidence of vascular complications was similar between the two groups (9.1% vs. 10.5%, p = 1.0). Patients with aortic aneurysms had a similar in-hospital MACE (4.5% vs. 6.2%, p = 1.0) and 6-month MACE (9.1% vs. 9.0%, p = 1.0) compared to those without aneurysms.ConclusionsIn our patient cohort, 9.5% of patients who underwent TAVR had concomitant aortic aneurysms. Patients with aortic aneurysms had similar incidence of vascular complications as well as in-hospital and 6-month MACE compared to those without.

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Section: Discussionmentioning

confidence: 95%

Impact of aortic aneurysms in trans-catheter aortic valve replacement: A single center experience

Kobayashi

Lazkani

Moualla

et al. 2018

Indian Heart Journal

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“…Another very important issue is the fact that some endovascular catheters can be used in both procedures, thus contributing to the cost reduction, while the total length of stay can be also reduced when both procedures are performed at the same time. [9][10][11] Although the one-stage procedure is associated with obvious advantages, there are some caveats that have to be underlined, such as the longer duration of the simultaneous procedure and the need for higher amounts of intravenous heparin. 9 As a result, it seems that the simultaneous TAVR and EVAR is an option with significant benefits in comparison to the two-stage confrontation.…”

Section: Discussionmentioning

confidence: 99%

Current issues on simultaneous TAVR (Transcatheter Aortic Valve Replacement) and EVAR (Endovascular Aneurysm Repair)

Schizas

Antonopoulos

Patris

et al. 2021

Clinical Case Reports

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“…However, in the last decade in order to reduce the surgical risk in such patients, simultaneous repair using less invasive techniques like EVAR and TAVI has been advocated. To our knowledge, there have been 8 reports of similar simultaneous EVAR and TAVI in the literature for managing AAA and severe aortic valve stenosis 8 -14 (Table 1). The advantage of performing both operations at the same time is that the same access site can be used and there is no need for a second anesthetic for the second operation.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Transcatheter Aortic Valve Implantation and Infrarenal Aortic Aneurysm Repair for Severe Aortic Stenosis and Abdominal Aortic Aneurysm: Report of 2 Cases and Literature Review

Koutsias

Karaolanis

Papafaklis

et al. 2020

Vasc Endovascular Surg

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The prevalence of concomitant abdominal aortic aneurysm (AAA) and severe aortic stenosis (AS) has been increasing in the elderly population. Both conditions have adverse outcomes, if not adequately managed. No clear recommendations are available in the literature until today, in regards of the management sequence making thus the decision-making challenging. We report 2 cases of AAA and significant AS treated with endovascular aortic repair (EVAR) and transcatheter aortic valve implantation (TAVI) during the same procedure and a review of the literature on this topic. Based on our experience, the combined procedure with TAVI followed by EVAR seems to be feasible, safe, and effective while detailed preoperative planning and a carefully tailored management strategy by a multidisciplinary team are essential.

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Simultaneous transcatheter aortic valve replacement and endovascular repair for critical aortic stenosis and large abdominal aortic aneurysm

Cited by 12 publications

References 5 publications

Impact of aortic aneurysms in trans-catheter aortic valve replacement: A single center experience

Impact of aortic aneurysms in trans-catheter aortic valve replacement: A single center experience

Current issues on simultaneous TAVR (Transcatheter Aortic Valve Replacement) and EVAR (Endovascular Aneurysm Repair)

Simultaneous Transcatheter Aortic Valve Implantation and Infrarenal Aortic Aneurysm Repair for Severe Aortic Stenosis and Abdominal Aortic Aneurysm: Report of 2 Cases and Literature Review

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