经皮主动子脉瓣植入tavi ppt课件.pptVIP

Transapical Approach The transapical approach was first described in 2006 with balloon-expandable valves A sheath is placed surgically in the left ventricular apex, accessed through a small left anterolateral minithoracotomy Transapical Approach Following balloon valvuloplasty, the valve prosthesis and balloon catheter are passed over a wire into the left ventricle and positioned within the aortic annulus under fluoroscopic and transesophageal echocardiographic guidance Transapical Approach This approach may be considered if the iliofemoral arterial system is of sufficiently small diameter,