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양측 장골동맥협착을 동반한 환자에서 경대퇴동맥 접근법을 통한 경피적 대동맥판막 삽입술

Other Titles
 Transcatheter Aortic Valve Implantation by Transfemoral Approach in a Patient with Bilateral Iliac Artery Disease 
Authors
 고영국 ; 곽영란 ; 심지영 ; 이동준 ; 장병철 ; 장양수 ; 홍명기 
Citation
 Korean Journal of Medicine (대한내과학회지), Vol.85(2) : 188~193, 2013 
Journal Title
 Korean Journal of Medcine (대한내과학회지) 
ISSN
 1226-329X 
Issue Date
2013
Abstract
Transcatheter aortic valve implantation (TAVI) is an alternative treatment modality for surgical aortic valve replacement in patients at high surgical risk. Transfemoral access is not feasible in many cases with unfavorable iliofemoral anatomy or severe peripheral arterial disease (PAD). Elderly patients with severe aortic valve stenosis have a higher prevalence of PAD due to atherosclerotic degenerative changes in the large and small vessels. Transsubclavian, transapical, and direct access to the ascending aorta by thoracotomy are alternative routes for the TAVI procedure. In this case, we describe a patient with a previous coronary artery bypass graft and bilateral iliac artery stenosis who successfully underwent TAVI using a CoreValve® by transfemoral approach after balloon angioplasty of iliac artery stenosis.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87367
DOI
10.3904/kjm.2013.85.2.188
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Anesthesiology and Pain Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Thoracic & Cardiovascular Surgery
Yonsei Authors
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