Key result
Left subclavian TAVI succeeds despite focal vessel dissection and transient left-arm paralysis.
TAVI via the subclavian approach can be complicated by vessel dissection and transient arm paralysis, highlighting the need for careful management of vascular access complications.
Alerts to subclavian TAVI risks of dissection and paralysis; leaves open comparative safety in larger cohorts.
We report a case of an 84-year-old female with symptomatic severe aortic stenosis, who was treated with trans-catheter aortic-valve implantation (TAVI), through the left subclavian artery. A CoreValve bioprosthesis was successfully implanted, but the procedure was complicated by a focal left subclavian dissection and transient left-arm paralysis, which was successfully managed.
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Vavuranakis et al. (2010) studied this question. Trans-catheter aortic-valve implantation via the left subclavian artery was successfully performed but complicated by focal vessel dissection and transient left-arm paralysis.
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