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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
 이동준  ;  고영국  ;  심지영  ;  장병철  ;  곽영란  ;  홍명기  ;  장양수 
Citation
 Korean Journal of Medicine, Vol.85(2) : 188-193, 2013 
Journal Title
 Korean Journal of Medicine 
ISSN
 1226-329X 
Issue Date
2013
Keywords
Aortic valve stenosis ; Peripheral arterial disease ; Heart valve prosthesis ; Transcatheter aortic valve implantation
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.
Files in This Item:
T201302436.pdf Download
DOI
10.3904/kjm.2013.85.2.188
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Young Guk(고영국) ORCID logo https://orcid.org/0000-0001-7748-5788
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Shim, Chi Young(심지영) ORCID logo https://orcid.org/0000-0002-6136-0136
Lee, Dong Jun(이동준)
Chang, Byung Chul(장병철)
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
Hong, Myeong Ki(홍명기) ORCID logo https://orcid.org/0000-0002-2090-2031
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87367
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