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Carotid artery access for transcatheter aortic valve replacement
Author(s) -
Guyton Robert A.,
Block Peter C.,
Thourani Vinod H.,
Lerakis Stamatios,
Babaliaros Vasilis
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24596
Subject(s) - medicine , cardiology , carotid arteries , aortic valve , aortic valve replacement , valve replacement , radiology , stenosis
We report three patients who had successful transcatheter aortic valve replacement (TAVR) via carotid artery access. None were candidates for thoracotomy (including minimal access incisions) and had no other vascular access sites that would accommodate the transcatheter valve sheath. Antegrade carotid perfusion and retrograde insertion of the delivery sheath maintained cerebral blood flow without sequelae. Carotid access for TAVR is an option for unusual patients without other access. © 2012 Wiley Periodicals, Inc.