title: A Novel Transcarotid Approach for Implantation of Balloon-Expandable or Self-Expandable Transcatheter Aortic Valves.
abstract: Transcarotid transcatheter aortic valve replacement (TAVR) is a new alternative in patients with contraindications to other approaches. We report results in 5 patients who underwent TAVR using the common carotid artery approach. Intraprocedural evaluation of the integrity of the circle of Willis was performed by measuring backflow pressure and cerebral oximetry. All patients underwent successful TAVR, without any cerebrovascular or access-related complications. Patient mobilization occurred early postprocedure and 4 of the 5 patients were discharged 3 days after the TAVR procedure. In conclusion, these results suggest that transcarotid access is a safe and feasible secondary TAVR approach.
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Francisco
authors.initials: F
authors.lastname: Campelo-Parada
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Josep
authors.initials: J
authors.lastname: Rodés-Cabau
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Dumont
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: María
authors.initials: M
authors.lastname: Del Trigo
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Ander
authors.initials: A
authors.lastname: Regueiro
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Daniel
authors.initials: D
authors.lastname: Doyle
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Robert
authors.initials: R
authors.lastname: De Larochellière
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Paradis
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Kalavrouziotis
authors.affiliation: Quebec Heart and Lung Institute, Quebec City, Quebec, Canada. Electronic address: siamak.mohammadi@fmed.ulaval.ca.
authors.forename: Siamak
authors.initials: S
authors.lastname: Mohammadi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006328:Cardiac Catheterization / Q000379:methods; D017536:Carotid Artery, Common / Q000601:surgery*; D002560:Cerebrovascular Circulation / Q000502:physiology; D006350:Heart Valve Prosthesis; D006801:Humans; D010092:Oximetry / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control*; D011474:Prosthesis Design; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome