Transcarotid Transcatheter Aortic Valve Replacement With Simple "Flip-n-Flex" Technique

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Medical Devices

Background:

• Transcatheter aortic valve replacement (TAVR) is a key treatment for severe aortic stenosis.
• Transfemoral access is the preferred TAVR approach, but is not always feasible.
• Transcarotid access provides an alternative route for TAVR when transfemoral access is contraindicated.

Purpose of the Study:

• To describe an adapted TAVR procedure for transcarotid access.
• To present the "flip-n-flex" technique for optimizing valve alignment.
• To report on the successful application of this technique in transcarotid TAVR.

Main Methods:

• Description of procedural adaptations for transcarotid TAVR.
• Implementation of the "flip-n-flex" technique for valve positioning.
• Application in both left and right transcarotid TAVR procedures.

Main Results:

• Successful coaxial alignment of the transcatheter heart valve to the aortic root.
• Demonstrated efficacy and safety of the adapted transcarotid TAVR approach.
• Improved procedural efficiency through technique adoption.

Conclusions:

• Transcarotid TAVR is a viable and effective alternative to transfemoral TAVR.
• The "flip-n-flex" technique enhances coaxial alignment and procedural success.
• This approach facilitates TAVR in patients unsuitable for traditional access routes.