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Trans‐carotid access for TAVR allows safe and rapid exchange for bailout valve‐in‐valve procedures
Author(s) -
Ferrari Enrico,
Caporali Elena,
Pedrazzini Giovanni,
Demertzis Stefanos
Publication year - 2018
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13513
Subject(s) - medicine , cardiology , regurgitation (circulation) , aortic valve , aortic valve replacement , carotid arteries , aortic valve regurgitation , valve replacement , catheter , surgery , stenosis
Trans‐carotid access for trans‐catheter aortic valve replacement is a valid alternative in patients with aortic valve dysfunction, severe peripheral vascular disease, and high‐risk for surgery. However, in the event of the need for a bailout valve‐in‐valve procedure, the safety of this access site is uncertain. We report a patient with aortic regurgitation, previous coronary surgery, peripheral vascular disease, and impaired ventricular function who underwent a CoreValve Evolut‐R (Medtronic Inc, Minneapolis, MN) implantation through the left carotid artery followed by a successful valve‐in‐valve procedure with a 26‐mm Edwards Sapien3 valve (Edwards Lifesciences, Irvine, CA) through the same carotid access site.