Transfemoral versus transcarotid access for transcatheter aortic valve replacement

Olivier, Maud-Emmanuelle; Cesare, A. Di; Poncet, Anne; Brasselet, Camille; Metz, Damien; Biancari, Fausto; Ruggieri, Vito Giovanni; Faroux, Laurent; Muccio, Salvatore; Torossian, Pierre-Frédéric; Duval, Sébastien; Liu, Li; Durand, Emmanuelle; Tassan, S; Heroguelle, Virginie

doi:10.1016/j.xjtc.2022.05.019

Cited by 2 publications

(2 citation statements)

References 39 publications

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“…Our literature search yielded 186 articles, of which 14 studies [ 5-7 , 12 , 15-24 ] remained after exclusion. Seven of the 14 were adjusted and thus finally analyzed [ 6 , 16-21 ]. The PRISMA flowchart ( Figure 1 ) summarizes the results of our literature search.…”

Section: Resultsmentioning

confidence: 99%

Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis

Yamani,

Ali,

Sadiq

et al. 2020

Future Science OA

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Aim: This meta-analysis aims to shed light on any primacy the trans -carotid (TC-TAVR) access may have over the trans -femoral access (TF-TAVR) for those undergoing transcatheter aortic valve replacement (TAVR). Methods: PubMed/MEDLINE and Cochrane Library were searched, from inception to March 2023 retrieving seven adjusted studies with a total of 6609 patients, of which 5048 underwent TF-TAVR while 1561 underwent TC-TAVR. Results: No divergence in risk of mortality, major bleeding or stroke/transient ischemic attack in TC-TAVR when compared with TF-TAVR was found. In TC-TAVR, the risk of vascular complications was low (OR: 0.51, 95% CI: 0.32–0.83, p = 0.003) as compared with TF-TAVR. Conclusion: As of this analysis, the viability of TC-TAVR as first alternative to TF-TAVR is plausible.

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Section: Resultsmentioning

confidence: 99%

Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis

Yamani,

Ali,

Sadiq

et al. 2020

Future Science OA

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“…[6][7][8] Furthermore, the recent studies reported that transcarotid TAVR is associated with similar outcomes compared to transfemoral TAVR. [9][10][11] Owing to these findings, some experts indicate that transcarotid TAVR is the feasible and preferred alternative approach when the transfemoral approach is unfavorable. 12,13) In the transcarotid approach, cerebrovascular accidents, including stroke, were of particular concern because this approach needs CCA clamping.…”

Section: Discussionmentioning

confidence: 99%

Transcarotid Transcatheter Aortic Valve Replacement for Severe Aortic Valve Stenosis with Narrow Aortic Root and Shaggy Aorta: A Case Report

Nakayama

Toma

Miyamoto

et al. 2023

Journal of Transcatheter Valve Therapies

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Objective: Transcarotid access for transcatheter aortic valve replacement (TAVR) is a minimally invasive alternative approach if femoral access becomes unfavorable; however, it remains off-label use in Japan. Case Presentation: An 85-year-old female patient with severe aortic valve stenosis presented to our hospital and was diagnosed with acute heart failure. The Society of Thoracic Surgery score and the European System for Cardiac Operative Risk Evaluation 2 were 9.5% and 11.2%, respectively. Computed tomography revealed a small aortic annulus (annulus axis diameter: 18.5 mm × 22.8 mm, perimeter: 67.5 mm, area: 359 mm 2 ), small aortic roots (Valsalva: noncoronary cusp, 22.7 mm; right coronary cusp, 22.8 mm; left coronary cusp, 24.3 mm; sinotubular junction: 18.5 mm × 22.8 mm), and a shaggy aorta with bilateral subclavian artery stenoses. Optimal medical therapy did not work well; therefore, we performed balloon aortic valvuloplasty (BAV). However, BAV did not improve aortic stenosis and worsened aortic regurgitation. The heart team decided to perform transcarotid TAVR owing to the presence of almost no plaque in the left common carotid artery (CCA), and brain magnetic resonance angiography revealed good communications between the anterior and posterior communicating arteries. On the 10th hospital day, transcarotid TAVR was performed, and Sapien 3 20-mm valve was directly implanted during the 30-min clamp time of the left CCA. The procedure was successful, and the clinical course following TAVR was good. Finally, she was discharged to her home on the 24th hospital day. Conclusion:We experienced a successful transcarotid TAVR case. Transcarotid access is a feasible approach in a case requiring an alternative approach.

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Transfemoral versus transcarotid access for transcatheter aortic valve replacement

Cited by 2 publications

References 39 publications

Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis

Trans-femoral versus trans-carotid access for transcatheter aortic valve replacement: an updated systematic review and meta-analysis

Transcarotid Transcatheter Aortic Valve Replacement for Severe Aortic Valve Stenosis with Narrow Aortic Root and Shaggy Aorta: A Case Report

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