%0 Journal Article
%T Transcarotid approach for TAVI: an optimal alternative to the transfemoral gold standard
%A Augustin Coisne
%A Ibrahim Alqdeimat
%A Khalil Fattouch
%A Pavel Overtchouk
%A Thomas Modine
%J Archive of "Annals of Cardiothoracic Surgery".
%D 2017
%R 10.21037/acs.2017.08.04
%X An 84-year-old male was addressed to our institution for degenerative stenosis of the aortic Carpentier-Edwards PERIMOUNT bioprosthesis (Edwards Lifesciences, Irvine, CA, USA). Transcatheter aortic valve implantation (TAVI) was favored to open surgery by the Heart Team because of patient¡¯s age, overweight (body mass index 31 kg/m2), smoking, a history of moderate chronic renal failure [creatinine clearance with Modification of Diet in Renal Disease (MDRD) formula: 42 mL/min/1.73 m2], coronary artery disease, and a high STS score of 12.2%. The preoperative coronary angiography showed no lesion; however aortic multidetector computed-tomography identified obstructive bilateral ilio-femoral arteriopathy that precluded trans-femoral pathway. Thus, the minimally invasive left trans-carotid access was deemed the most appropriate access for TAVI
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639220/