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- W2039345592 abstract "During transapical transcatheter aortic valve replacement (TA-TAVR), the apical closure remains a challenge for the surgeon, having the risk for ventricular tear and massive bleeding. Apical closure devices are already under clinical evaluation, but only a few can lead to a full percutaneous TA-TAVR. We describe the successful use of a 9-mm myocardial occluder (ventricular septal defect occluder) that was used to seal the apex after a standard TA-TAVR (using the Sapien XT 23-mm transcatheter valve and the Ascendra + delivery system). The placement of the nonmodified myocardial occluder was performed through the Ascendra + delivery system, with a very small amount of blood loss and an acceptable sealing of the apical tear. This approach is feasible and represents a further step toward true-percutaneous transapical heart valve procedures. Modified apical occluders are under evaluation in animal models." @default.
- W2039345592 created "2016-06-24" @default.
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- W2039345592 date "2015-01-01" @default.
- W2039345592 modified "2023-10-14" @default.
- W2039345592 title "Use of a Ventricular Septal Defect Occluder for Apical Closure in Transapical Aortic Valve Replacement" @default.
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- W2039345592 doi "https://doi.org/10.1097/imi.0000000000000118" @default.
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