Transcarotid transcatheter aortic valve implantation

Abstract

Transcatheter aortic valve implantation is a well-recognized treatment option for high-risk patients with aortic stenosis. The femoral approach is possible in 80% of cases. Initially, only the transcarotid and subclavian approaches were performed as alternative routes. Both approaches have advantages and disadvantages. The carotid approach is a new approach that offers direct vascular access to the aortic valve. The technique of access is very simple and well known to all cardiovascular surgeons, and the morbidity is minimal. It avoids a thoracotomy with all its complications. We present here our technique and results of our initial experience.

Transcarotid transcatheter aortic valve implantation: multicentre experience in France

“…As previously described by our team [4], the procedure is performed under general anaesthesia with continuous cerebral oximetry monitoring by means of bilateral cerebral tissue oxygen saturation measurement with the near infrared spectroscopy (NIRS) cerebral oximeter (Covidien, Dublin, Ireland).…”

“…Transcarotid aortic valve implantation (TCAVI) is a new and valuable alternative route, which has already been described [3,4]. It provides a direct route to the aortic valve and avoids any sternal or thoracic incision.…”