Concomitant transcarotid artery revascularization and transcatheter aortic valve replacement

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Vascular Surgery

Background:

• Concomitant severe aortic stenosis and symptomatic carotid artery disease presents a complex clinical challenge.
• Traditional management strategies for these conditions individually may not be optimal when they coexist.
• Minimally invasive endovascular techniques offer potential solutions for combined treatment.

Observation:

• This report describes two patients with both severe aortic stenosis and symptomatic carotid artery disease.
• Both patients underwent simultaneous, minimally invasive procedures.
• The procedures performed were transcatheter aortic valve replacement and transcarotid artery revascularization.

Findings:

• Successful treatment of both severe aortic stenosis and symptomatic carotid artery disease was achieved in both described cases.
• The combined endovascular approach demonstrated feasibility and efficacy.
• No major adverse events were reported in the immediate post-procedural period for these two patients.

Implications:

• Concomitant transcatheter aortic valve replacement and transcarotid artery revascularization is a viable treatment option for select patients.
• This combined approach may offer a less invasive alternative to traditional surgical methods.
• Further research is warranted to establish the long-term outcomes and optimal patient selection for this combined endovascular strategy.