Why the study?
The management of patients with concomitant symptomatic carotid disease and severe aortic stenosis is challenging.
Concomitant TAVR and TCAR may be a feasible minimally invasive approach for patients with both severe aortic stenosis and symptomatic carotid disease.
Endovascular approaches appear feasible in select concomitant cases; leaves open need for prospective data on safety and timing.
Concomitant carotid artery disease and aortic valve disease is common. Whereas carotid stenosis does not appear to have an effect on outcomes of patients undergoing aortic valve replacement, the management of a patient with symptomatic carotid disease and severe aortic stenosis is challenging. The advent of minimally invasive endovascular techniques has provided less invasive and effective treatment options for these respective conditions. In this report, we describe two cases of patients successfully treated with concomitant transcatheter aortic valve replacement and transcarotid artery revascularization.
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Rossi et al. (2020) studied this question.
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