ArticleJACC. Case reports2025
Trans-Subclavian Artery Combined With Artificial Graft Technique for Severe Calcific Aortic Stenosis With Tortuous Anatomy.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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9 authors.
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Abstract
objectivesThe study sought to describe a hybrid trans-subclavian-artificial graft technique for transcatheter aortic valve replacement in patients with severe calcific aortic stenosis, vascular tortuosity, and anatomical constraints. KEY STEPS: Preprocedural planning and access selection; graft anastomosis and access stabilization; wire crossing and balloon predilation; coronary protection and valve deployment; postprocedural outcomes. POTENTIAL PITFALLS: Graft instability leading to system migration; coronary occlusion risk; hemodynamic instability. TAKE-HOME MESSAGE: Hybrid left subclavian artery-graft access enables transcatheter aortic valve replacement in anatomically complex patients; procedural success hinges on meticulous graft stabilization and dynamic imaging.
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