Carotid artery access for transcatheter aortic valve replacement

Authors

  • Robert A. Guyton MD,

    1. Division of Cardiovascular Surgery and Division of Cardiology, Emory University Hospitals, Emory University School of Medicine, Atlanta, GA
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  • Peter C. Block MD,

    Corresponding author
    • Division of Cardiovascular Surgery and Division of Cardiology, Emory University Hospitals, Emory University School of Medicine, Atlanta, GA
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  • Vinod H. Thourani MD,

    1. Division of Cardiovascular Surgery and Division of Cardiology, Emory University Hospitals, Emory University School of Medicine, Atlanta, GA
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  • Stamatios Lerakis MD,

    1. Division of Cardiovascular Surgery and Division of Cardiology, Emory University Hospitals, Emory University School of Medicine, Atlanta, GA
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  • Vasilis Babaliaros MD

    1. Division of Cardiovascular Surgery and Division of Cardiology, Emory University Hospitals, Emory University School of Medicine, Atlanta, GA
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  • Conflict of interest: Nothing to report.

Correspondence to: Peter C. Block, Emory University Hospital F606, 1364 Clifton Rd., Atlanta, GA 30322. E-mail: pblock@emory.edu

Abstract

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.

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