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

  • Arnaud Farge
  • Amir YoussariEmail author
  • Mohamad Oroudji
  • Mahmoud Fouda
Case report
  • 9 Downloads

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

Transcatheter aortic valve implantation Transcarotid access Endarterectomy 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All patients were staffed with our heart team. Operative indications for transcarotid TAVI as well as for ipsilateral ICA endarterectomy were retained in a collegiate manner without any ethical problem raised.

Informed consent

Informed consent was obtained from all patients included in the study.

References

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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Arnaud Farge
    • 1
  • Amir Youssari
    • 1
    Email author
  • Mohamad Oroudji
    • 1
  • Mahmoud Fouda
    • 1
  1. 1.Cardiovascular Surgery CenterJacques Cartier HospitalMassyFrance

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