Presentation is loading. Please wait.

Presentation is loading. Please wait.

The Carotid Artery as a Preferred Alternative Access Route for Transcatheter Aortic Valve Replacement  Eric B. Kirker, MD, Robert W. Hodson, MD, Kateri.

Published byGregers Olesen Modified over 5 years ago

Similar presentations

Presentation on theme: "The Carotid Artery as a Preferred Alternative Access Route for Transcatheter Aortic Valve Replacement  Eric B. Kirker, MD, Robert W. Hodson, MD, Kateri."— Presentation transcript:

1 The Carotid Artery as a Preferred Alternative Access Route for Transcatheter Aortic Valve Replacement  Eric B. Kirker, MD, Robert W. Hodson, MD, Kateri J. Spinelli, PhD, Ethan C. Korngold, MD  The Annals of Thoracic Surgery  Volume 104, Issue 2, Pages (August 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Algorithm for determining transcatheter aortic valve replacement (TAVR) access route. (EF = ejection fraction; LCCA = left common carotid artery; RCCA = right common carotid artery; SCA = subclavian artery; TA = transapical; TAo = transaortic; TC = transcarotid; TF = transfemoral.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Surgical exposure and access to common carotid artery. (A) Carotid stump pressure distal to clamp was checked to ensure mean arterial pressure >32 mm Hg. (B) A micropuncture needle was used to enter carotid artery, followed by insertion of 6F sheath. (C) After aortic valve crossing, valve delivery sheath was placed. (D) Transcatheter aortic valve replacement (TAVR) valve was passed through delivery sheath into position. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Surgical repair and recovery from transcarotid transcatheter aortic valve replacement (TC-TAVR). (A–C) Transverse repair of carotid artery, with distal and proximal clamps in place. (D) Small incision site and minimal scarring 7 days postoperatively. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Valve types successfully deployed for transcarotid transcatheter aortic valve replacement (TC-TAVR). Measurements in each pie piece indicate different diameters used for each valve type, with number of patients included in parentheses. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Procedural outcomes were better for patients who underwent transcarotid (TC) and transfemoral (TF) procedures compared topatients who underwent transapical (TA) procedures. All data were nonparametric and were analyzed using Wilcoxon rank sum tests (∗p < 0.05; ∗∗p < 0.01; ∗∗∗p < 0.001). (ICU = intensive care unit; LOS = length of stay; ns = not significant; Post-op = postoperative.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "The Carotid Artery as a Preferred Alternative Access Route for Transcatheter Aortic Valve Replacement  Eric B. Kirker, MD, Robert W. Hodson, MD, Kateri."

Similar presentations

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting  Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting  Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,
Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.

Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.
Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.

Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.
Transcatheter and Surgical Aortic Valve Replacement in Dialysis Patients: A Propensity- Matched Comparison  Dale M. Kobrin, BA, Fenton H. McCarthy, MD,

Transcatheter and Surgical Aortic Valve Replacement in Dialysis Patients: A Propensity- Matched Comparison  Dale M. Kobrin, BA, Fenton H. McCarthy, MD,
Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up  Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up  Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,
“Double-Stick” Transsubclavian Transcatheter Aortic Valve Replacement With Use of a Balloon Expandable Valve: A Less Invasive Option for Alternative Access 

“Double-Stick” Transsubclavian Transcatheter Aortic Valve Replacement With Use of a Balloon Expandable Valve: A Less Invasive Option for Alternative Access 
Long-Term Outcome of Coronary Artery Bypass Grafting in Patients With Left Ventricular Dysfunction  Paolo Nardi, MD, PhD, Antonio Pellegrino, MD, Antonio.

Long-Term Outcome of Coronary Artery Bypass Grafting in Patients With Left Ventricular Dysfunction  Paolo Nardi, MD, PhD, Antonio Pellegrino, MD, Antonio.
Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.

Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.
Clinical Outcomes in Patients With Prolonged Intensive Care Unit Length of Stay After Cardiac Surgical Procedures  Ansar Hassan, MD, PhD, Curtis Anderson,

Clinical Outcomes in Patients With Prolonged Intensive Care Unit Length of Stay After Cardiac Surgical Procedures  Ansar Hassan, MD, PhD, Curtis Anderson,
Reply The Annals of Thoracic Surgery

Reply The Annals of Thoracic Surgery
Unusual Gastrointestinal Bleeding After Sutureless Aortic Valve Replacement: A Word of Caution  Jules Iquille, MD, Joseph Nader, MD, Eric Colpart, MD,

Unusual Gastrointestinal Bleeding After Sutureless Aortic Valve Replacement: A Word of Caution  Jules Iquille, MD, Joseph Nader, MD, Eric Colpart, MD,
Combined Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Using Transapical Access  Keith B. Allen, MD, Lesley M. Johnson,

Combined Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Using Transapical Access  Keith B. Allen, MD, Lesley M. Johnson,
Robert Brewer, MD, MHSA, Patricia F. Theurer, BSN, Chad M

Robert Brewer, MD, MHSA, Patricia F. Theurer, BSN, Chad M
Outcomes of Reintervention on the Autograft After Ross Procedure

Outcomes of Reintervention on the Autograft After Ross Procedure
Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery  Ming Liu, MS, MA, Charlotte M. Druschel,

Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery  Ming Liu, MS, MA, Charlotte M. Druschel,
Robert L. Smith, MD, Morley A. Herbert, PhD, Todd M

Robert L. Smith, MD, Morley A. Herbert, PhD, Todd M
Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E

Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E
Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting  John V. Conte, MD, Thomas G. Gleason, MD, Jon.

Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting  John V. Conte, MD, Thomas G. Gleason, MD, Jon.
Influence of Perioperative Hemodynamics on Spinal Cord Ischemia in Thoracoabdominal Aortic Repair  Yujiro Kawanishi, MD, Kenji Okada, MD, Masamichi Matsumori,

Influence of Perioperative Hemodynamics on Spinal Cord Ischemia in Thoracoabdominal Aortic Repair  Yujiro Kawanishi, MD, Kenji Okada, MD, Masamichi Matsumori,
Extent of Aortic Coverage and Incidence of Spinal Cord Ischemia After Thoracic Endovascular Aneurysm Repair  Robert J. Feezor, MD, Tomas D. Martin, MD,

Extent of Aortic Coverage and Incidence of Spinal Cord Ischemia After Thoracic Endovascular Aneurysm Repair  Robert J. Feezor, MD, Tomas D. Martin, MD,

Similar presentations

Ads by Google