Combined transcarotid transcatheter aortic valve implantation and endarterectomy of the ipsilateral internal carotid artery

Arnaud Farge; Amir Youssari; Mohamad Oroudji; Mahmoud Fouda

doi:10.1007/s12055-018-0685-4

Combined transcarotid transcatheter aortic valve implantation and endarterectomy of the ipsilateral internal carotid artery

Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):55-58. doi: 10.1007/s12055-018-0685-4. Epub 2018 Jul 12.

Authors

Arnaud Farge^#¹, Amir Youssari^#¹, Mohamad Oroudji¹, Mahmoud Fouda¹

Affiliation

¹ Cardiovascular Surgery Center, Jacques Cartier Hospital, 6 Avenue du Noyer Lambret, 91300 Massy, France.

^# Contributed equally.

Abstract

The transcarotid pathway remains a safe route for transcatheter aortic valve implantation (TAVI) when more traditional approaches are contraindicated. We report a series of three patients with severe aortic stenosis (AS) and symptomatic significant stenosis of the ipsilateral internal carotid artery (ICA) in patients with high operative risk. All patients were treated successfully within the same setting in our center by endarterectomy first followed by a TAVI with an uneventful postoperative course without new neurological deficits (Modine et al. in J Thorac Cardiovasc Surg. 140:928-9, 2010; Azmoun et al. in Eur J Cardiothorac Surg. 46:693-8, 2014; Overtchouk et al. in Ann Cardiothorac Surg. 6(5):555-7, 2017).

Keywords: Endarterectomy; Transcarotid access; Transcatheter aortic valve implantation.

Publication types

Case Reports