First Transcatheter Aortic Valve Implantation via Carotid Artery Performed in Japan

Yusuke Misumi; Toru Kuratani; Koichi Maeda; Koichi Toda; Shigeru Miyagawa; Takayoshi Ueno; Yoshiki Sawa

doi:10.5761/atcs.cr.18-00201

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First Transcatheter Aortic Valve Implantation via Carotid Artery Performed in Japan

Yusuke Misumi, Toru Kuratani, Koichi Maeda, Koichi Toda, Shigeru Miyagawa, Takayoshi Ueno, Yoshiki Sawa

著者情報

キーワード: aortic valve stenosis, transcatheter aortic valve implantation, trans-carotid arterial access

ジャーナルオープンアクセス早期公開

論文ID: cr.18-00201

DOI https://doi.org/10.5761/atcs.cr.18-00201

この記事には本公開記事があります。

The final version of this article is now available: Vol. 27 (2021), No. 4 pp. 264-266

詳細

抄録

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.

責任著者(Corresponding author)

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