Kallinikou, Zacharenia Berger, Alexandre Ruchat, Patrick Khatchatourov, Gregory Fleisch, Isabelle Korkodelovic, Branislav Henchoz, Emmanuel Marti, René-Andréas Cook, Stéphane Togni, Mario Goy, Jean-Jacques 2017-06-01 Background: Transcarotid access is an alternative route for transcutaneous aortic valve implantation (TAVI) in patients with impossible transfemoral access.Aims: We evaluated the safety, effectiveness and early and late clinical outcomes of CoreValve® implantation via the common carotid artery.Methods: Eighteen patients (10 men, 8 women; mean age 84 ± 5 years) at high surgical risk (mean EuroSCORE II 16 ± 13%) with significant peripheral artery disease underwent TAVI via common carotid artery access under general anaesthesia. Mean aortic valve area was 0.64 ± 0.13 cm2 (0.36 ± 0.07 cm2/m2).Results: At a mean follow-up of 605 ± 352 days, two patients (11%) had died in hospital, on days 6 and 20, as a result of sepsis with multiorgan failure (n = 1) or pneumonia (n = 1). There were no perioperative deaths, myocardial infarctions or strokes. Perioperative prosthesis embolization occurred in one patient (6%), requiring implantation of a second valve. In-hospital complications occurred in four patients (23%): blood transfusion for transient significant bleeding at the access site in one patient (6%); permanent pacemaker implantation in two patients (11%); and pericardial drainage in one patient (6%). The rate of event-free in-hospital stay was 66%. Post-procedural echocardiography showed very good haemodynamic performance, with a mean gradient of 8 ± 3 mmHg. Moderate paravalvular leak was present in one patient (6%). Mean intensive care unit stay was 48 ± 31 h; mean in- hospital stay was 7 ± 3 days.Conclusion: TAVI performed by transcarotid access in this small series of severely ill patients was associated with a low incidence of complications, which were associated with the procedure itself rather than the access route. application/pdf https://folia.unifr.ch/global/documents/305981 https://folia.unifr.ch/documents/305981/files/tog_tav.pdf eng info:eu-repo/semantics/altIdentifier/doi/10.1016/j.acvd.2016.10.005 info:eu-repo/semantics/openAccess License undefined Archives of Cardiovascular Diseases. - 2017, vol. 110, no. 6, p. 389–394 info:eu-repo/classification/udc/616 Transcutaneous aortic valve implantation using the carotid artery access: Feasibility and clinical outcomes http://purl.org/coar/resource_type/c_6501