Transcarotid Transcatheter Aortic Valve Replacement as Preferred Alternative Access in a Patient With Bilateral...

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Surgery

Background:

• Severe symptomatic aortic stenosis poses significant risks, especially in elderly patients with comorbidities.
• Traditional surgical aortic valve replacement may be contraindicated in high-risk patients.
• Minimally invasive transcatheter aortic valve replacement (TAVR) has emerged as a crucial alternative.

Observation:

• A 78-year-old male patient presented with severe, symptomatic aortic stenosis.
• The patient's aortic valve was heavily calcified and stenotic.
• Multiple comorbidities precluded conventional surgical intervention.

Findings:

• The heart team recommended a transcatheter approach for aortic valve replacement.
• Access was successfully achieved via the left common carotid artery.
• This approach facilitated the treatment of severe aortic stenosis in a complex patient.

Implications:

• The left common carotid artery can serve as a feasible access route for transcatheter aortic valve replacement in select patients.
• This case expands the potential endovascular treatment options for severe aortic stenosis.
• Careful patient selection and procedural planning are crucial for successful outcomes in complex TAVR cases.