Carotid artery access for transcatheter aortic valve replacement.
We report three patients who had successful transcatheter aortic valve replacement (TAVR) via carotid artery access. None were candidates for thoracotomy (including minimal access incisions) and had no other vascular access sites that would accommodate the transcatheter valve sheath. Antegrade carotid perfusion and retrograde insertion of the delivery sheath maintained cerebral blood flow without sequelae. Carotid access for TAVR is an option for unusual patients without other access.
Division of Cardiovascular Surgery and Division of Cardiology, Emory University Hospitals, Emory University School of Medicine, Atlanta, GA.
Robert A
RA
Guyton
Peter C
PC
Block
Vinod H
VH
Thourani
Stamatios
S
Lerakis
Vasilis
V
Babaliaros
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D062906:Cardiac Catheters; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D004867:Equipment Design; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D010477:Perfusion; D011474:Prosthesis Design; D011859:Radiography; D016896:Treatment Outcome