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Published on: June 3, 2018
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Percutaneous Carotid Transcatheter Aortic Valve Implantation
David Elison1, Logan Vincent1, Christine Chung1
1Division of Medicine, Department of Cardiology, University of Washington Medical Center, Seattle, Washington, USA.
JACC. Case Reports
|December 14, 2023
Summary
Transcatheter aortic valve replacement (TAVR) was successfully performed using a novel percutaneous transcarotid approach in two high-risk patients. This alternative access method offers a viable option when transfemoral access is not feasible, demonstrating promising results.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Transcatheter aortic valve replacement (TAVR) is a critical procedure for severe aortic stenosis.
- Transfemoral access is the standard TAVR approach, but is not suitable for all patients.
- High-risk patients with complex anatomy often require alternative access strategies.
Observation:
- Two patients with high surgical risk and unsuitable transfemoral options were selected for TAVR.
- Percutaneous transcarotid access was utilized as an alternative to transfemoral TAVR.
- The procedure involved successful valve delivery and deployment through the carotid artery.
Findings:
- Successful TAVR was achieved in both patients using the percutaneous transcarotid approach.
- No significant complications were observed during or after the procedures.
- This represents a potentially new and effective method for TAVR in select patient populations.
Implications:
- Percutaneous transcarotid access may expand TAVR eligibility to a broader range of high-risk patients.
- This technique offers a minimally invasive alternative when traditional access routes are compromised.
- Further research is warranted to establish the safety and efficacy of this novel TAVR approach.
