Carotid access for percutaneous coronary intervention

Matthias De Boulle1, Erik Debing1, Dries Belsack2

  • 1Centrum voor Hart- en Vaatziekten Vrije Universiteit Brussel (VUB) Universitair Ziekenhuis Brussel (UZ Brussel) Brussels Belgium.

Clinical Case Reports
|September 6, 2021
PubMed

Insights

Transcarotid percutaneous coronary intervention is a viable and secure option. It serves as a crucial alternative when standard vascular access for coronary interventions is not possible.

Area of Science:

  • Cardiovascular Interventions
  • Vascular Access Techniques

Background:

  • Percutaneous coronary intervention (PCI) traditionally relies on peripheral arterial access.
  • Challenges arise when peripheral access is anatomically difficult or unavailable.

Observation:

  • Transcarotid access offers an alternative route for cardiovascular procedures.
  • Feasibility and safety of this approach were evaluated.

Findings:

  • Transcarotid percutaneous coronary intervention (TCPCI) is demonstrated to be feasible.
  • The procedure is safe, with acceptable outcomes.
  • TCPCI can be successfully employed when conventional methods fail.

Implications:

  • TCPCI expands treatment options for complex coronary artery disease.
  • This technique provides a critical solution for patients with limited peripheral access.
  • It enhances the capability to perform life-saving interventions in challenging cases.

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
71
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
293
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
279