First Transcatheter Aortic Valve Implantation via Carotid Artery Performed in Japan

Transcatheter aortic valve implantation (TAVI) through a peripheral arterial access is often complicated by concomitant arteriopathy. We describe here the first successful case of TAVI through the carotid artery in Japan. The patient was an 83-year-old woman with severe aortic stenosis (AS). Preoper...

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Detalles Bibliográficos
Autores principales: Misumi, Yusuke, Kuratani, Toru, Maeda, Koichi, Toda, Koichi, Miyagawa, Shigeru, Ueno, Takayoshi, Sawa, Yoshiki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8374097/
https://www.ncbi.nlm.nih.gov/pubmed/30568074
http://dx.doi.org/10.5761/atcs.cr.18-00201
Descripción
Sumario:Transcatheter aortic valve implantation (TAVI) through a peripheral arterial access is often complicated by concomitant arteriopathy. We describe here the first successful case of TAVI through the carotid artery in Japan. The patient was an 83-year-old woman with severe aortic stenosis (AS). Preoperative computed tomography (CT) revealed a shaggy distal aortic arch and left subclavian artery ostium, along with severely calcified bilateral iliofemoral arteries. Trans-apical and direct aortic approaches were abandoned because of frailty. Following the thorough cerebrovascular assessment, the left common carotid artery was selected for arterial access and a CoreValve transcatheter aortic valve was successfully implanted without neurologic complications.

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