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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Trans-carotid access for TAVR allows safe and rapid exchange for bailout valve-in-valve procedures

Enrico Ferrari1, Elena Caporali1, Giovanni Pedrazzini2

  • 1Cardiac Surgery Department, Cardiocentro Ticino, Lugano, Switzerland.

Journal of Cardiac Surgery
|January 30, 2018
PubMed

Insights

Trans-carotid access is a viable option for trans-catheter aortic valve replacement, even for complex cases requiring a subsequent valve-in-valve procedure. This approach demonstrated safety and efficacy in a high-risk patient.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Trans-carotid access is an alternative for trans-catheter aortic valve replacement (TAVR) in patients with severe peripheral vascular disease or high surgical risk.
  • The safety of trans-carotid access for bailout valve-in-valve (VIV) procedures remains uncertain.

Keywords:
TAVRaortic valve regurgitationhigh-risk patients

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