title: Common carotid artery access for transcatheter aortic valve implantation.
abstract: Transcatheter aortic valve implantation (TAVI) is an alternative method of treatment for severe symptomatic aortic stenosis in patients who are at high risk of surgical aortic valve replacement (AVR). In randomised clinical trials TAVI was shown to be superior to standard medical therapy in a cohort of inoperable patients and non-inferior to AVR in high-risk operable patients. Additionally, in a recent trial with self-expandable prosthesis use, TAVI was associated with lower mortality compared with surgery. Usually, femoral arteries are the most common vascular access to deliver the bioprosthesis; however, in some cases (up to 20%) this route may not be applied because of significant peripheral artery disease or tortuosity. In this article, we present the first two TAVI procedures in Poland performed via the left common carotid artery.
authors.affiliation: 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland. zenon.huczek@wum.edu.pl.
authors.forename: Zenon
authors.initials: Z
authors.lastname: Huczek
authors.forename: Radosław
authors.initials: R
authors.lastname: Wilimski
authors.forename: Janusz
authors.initials: J
authors.lastname: Kochman
authors.forename: Piotr
authors.initials: P
authors.lastname: Szczudlik
authors.forename: Piotr
authors.initials: P
authors.lastname: Scisło
authors.forename: Bartosz
authors.initials: B
authors.lastname: Rymuza
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Kapłon-Cieślicka
authors.forename: Anna
authors.initials: A
authors.lastname: Kolasa
authors.forename: Michał
authors.initials: M
authors.lastname: Marchel
authors.forename: Krzysztof J
authors.initials: KJ
authors.lastname: Filipiak
authors.forename: Romuald
authors.initials: R
authors.lastname: Cichoń
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Opolski
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis* / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D017536:Carotid Artery, Common / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D011044:Poland; D012307:Risk Factors; D065467:Transcatheter Aortic Valve Replacement / Q000706:statistics & numerical data*; D016896:Treatment Outcome