Trans-carotid access for TAVR allows safe and rapid exchange for bailout valve-in-valve procedures.
Enrico FerrariElena CaporaliGiovanni PedrazziniStefanos DemertzisPublished in: Journal of cardiac surgery (2018)
Trans-carotid access for trans-catheter aortic valve replacement is a valid alternative in patients with aortic valve dysfunction, severe peripheral vascular disease, and high-risk for surgery. However, in the event of the need for a bailout valve-in-valve procedure, the safety of this access site is uncertain. We report a patient with aortic regurgitation, previous coronary surgery, peripheral vascular disease, and impaired ventricular function who underwent a CoreValve Evolut-R (Medtronic Inc, Minneapolis, MN) implantation through the left carotid artery followed by a successful valve-in-valve procedure with a 26-mm Edwards Sapien3 valve (Edwards Lifesciences, Irvine, CA) through the same carotid access site.
Keyphrases
- aortic valve
- transcatheter aortic valve implantation
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve replacement
- minimally invasive
- left ventricular
- ejection fraction
- heart failure
- coronary artery disease
- coronary artery
- mitral valve
- early onset
- coronary artery bypass
- oxidative stress
- acute coronary syndrome
- room temperature
- pulmonary arterial hypertension
- quantum dots