title: Transcarotid transcatheter aortic valve implantation.
abstract: Transcatheter aortic valve implantation is a well-recognized treatment option for high-risk patients with aortic stenosis. The femoral approach is possible in 80% of cases. Initially, only the transcarotid and subclavian approaches were performed as alternative routes. Both approaches have advantages and disadvantages. The carotid approach is a new approach that offers direct vascular access to the aortic valve. The technique of access is very simple and well known to all cardiovascular surgeons, and the morbidity is minimal. It avoids a thoracotomy with all its complications. We present here our technique and results of our initial experience.
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Laurent
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Pablo
authors.initials: P
authors.lastname: Maureira
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Bertram
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Mazen
authors.initials: M
authors.lastname: Elfarra
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Fabrice
authors.initials: F
authors.lastname: Vanhuyse
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Grandmougin
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
authors.forename: Michael
authors.initials: M
authors.lastname: Angioi
authors.affiliation: Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France Pôle Territorial Lorrain, Chirurgie Cardiaque Vasculaire and Transplantation, Institut Lorrain du Coeur and des Vaisseaux Louis Mathieu, Centre Hospitalier Universitaire Brabois, Université de Lorraine, Vandoeuvre Les Nancy, France t.folliguet@chru-nancy.fr.
authors.forename: Thierry A
authors.initials: TA
authors.lastname: Folliguet
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*; D016896:Treatment Outcome
keywords: Aortic valve; Carotid artery; Minimally invasive surgery