Key result
Percutaneous transcarotid access for transcatheter aortic valve replacement was successfully performed without notable complications in two high-risk surgical patients.
Why the study?
Alternative access was needed for high-risk surgical patients undergoing transcatheter aortic valve replacement with unacceptable transfemoral options, and percutaneous transcarotid access had not been previously reported.
Is percutaneous transcarotid access feasible and safe for transcatheter aortic valve replacement in high-risk surgical patients with unacceptable transfemoral options?
Case Report (n=2)
Is percutaneous transcarotid access feasible and safe for transcatheter aortic valve replacement in high-risk surgical patients with unacceptable transfemoral options?
Percutaneous transcarotid access is a feasible alternative for transcatheter aortic valve replacement in high-risk patients lacking transfemoral options.
We present a series of 2 high-risk surgical patients undergoing transcatheter aortic valve replacement via alternative access owing to unacceptable transfemoral options. Both patients underwent percutaneous transcarotid access with successful valve delivery and deployment without notable complication. To our knowledge, this approach has not been previously reported. (Level of Difficulty: Intermediate.)
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Elison et al. (2023) conducted a case report in High-risk surgical patients needing transcatheter aortic valve replacement with unacceptable transfemoral options (n=2). Percutaneous transcarotid access for transcatheter aortic valve replacement was evaluated on Successful valve delivery and deployment without notable complication. Percutaneous transcarotid access for transcatheter aortic valve replacement was successfully performed without notable complications in two high-risk surgical patients.
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