Several years ago, an 83-year-old female patient received two coronary stents and a pacemaker implantation as a result of two-vessel disease. The patient was also suffering from increased airway resistance. These comorbidities, overall weak condition and high-grade aortic valve stenosis with high postoperative stroke risk led to the decision to give the patient a transapical TAVI.
This scenario is a familiar one for Dr. Bruno Podesser, associate professor of surgery in the Cardiac Surgery Department at the Landesklinikum St. Poelten, Austria.
One thing is different this time: Dr. Podesser is using the Siemens Cios Alpha flat detector mobile C-arm.