Key result
The transcarotid approach to transcatheter aortic valve replacement provides a promising alternative access site with comparable outcomes to the transfemoral approach in high-risk patients.
Why the study?
Valve replacement in high-risk patients with severe aortic stenosis has seen shifts in vascular access for patients with poor peripheral access, with the carotid artery emerging as a promising alternative site.
Does the transcarotid approach for TAVR provide comparable outcomes to the transfemoral approach in high-risk patients with severe aortic stenosis and poor peripheral access?
Does the transcarotid approach for TAVR provide comparable outcomes to the transfemoral approach in high-risk patients with severe aortic stenosis and poor peripheral access?
The transcarotid approach is a viable alternative access site for TAVR in patients with severe aortic stenosis and poor peripheral access, offering comparable outcomes to the transfemoral approach.
Valve replacement in high-risk patients with severe aortic stenosis has undergone a huge paradigm shift in the recent years in terms of procedural details and vascular access site for patients who have poor peripheral access. Carotid artery is one of the more promising access sites which has been proven to provide a good alternative site with comparable outcomes to transfemoral approach. In this manuscript, we will provide a review of the current literature on transaortic, transapical, transaxillary and transcarotid approaches to transcatheter aortic valve replacement (TAVR) while focusing on the transcarotid approach.
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Pour‐Ghaz et al. (2019) conducted a review in Severe aortic stenosis. Transcarotid transcatheter aortic valve replacement vs. Transfemoral approach was evaluated. The transcarotid approach to transcatheter aortic valve replacement provides a promising alternative access site with comparable outcomes to the transfemoral approach in high-risk patients.
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