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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Aortic Valve Replacement | Case report

ACURATE neo™ aortic valve implantation via carotid artery access: first case report

Authors: Chadi Aludaat, Alexandre Canville, Quentin Landolff, Matthieu Godin, Fabrice Bauer, Fabien Doguet

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

The ACURATE neo™ transcatheter heart valve (Boston Scientific, Marlborough, Massachusetts) is predominantly implanted via femoral access. Transcarotid use of this prothesis has never been reported.

Case presentation

We present the case of an 89-year-old woman referred to us for a transcatheter aortic valve replacement (TAVR). After apparatus imaging of the aortic annulus and the peripheral vascular pathway, the heart team was confronted with a triple challenge: (i) The preferable choice of a self-expanding valve because of a small aortic annulus in an obese woman. (ii) Gaining favorable access to the coronary ostia, considering multiple recent coronary stenting. (iii) Utilizing an alternative arterial access because of iliac and femoral severely calcified stenosis. Implanting the ACURATE neo™ transcatheter heart valve (THV) via carotidal access allowed us to overcome these challenges. The procedure was performed successfully without any short-term complications.

Conclusion

We report the first case of implantation of an ACURATE neo™ transcatheter heart valve (Boston Scientific, Marlborough, Massachusetts) via the right common carotid artery.

Marie B, David CH, Guimbretière G, et al. Carotid versus femoral access for transcatheter aortic valve replacement: comparable results in the current era. Eur J Cardiothorac Surg. 2021;(ezab109). https://doi.org/10.1093/ejcts/ezab109.

Overtchouk P, Modine T. Alternate Access for TAVI: Stay Clear of the Chest. Interv Cardiol Rev. 2018;13(3):145–50. https://doi.org/10.15420/icr.2018.22.1.CrossRef

Bob-Manuel T, Almusawi H, Rezan T, Khaira H, Akingbola A, Nasir A, et al. Efficacy and safety of Transcarotid Transcatheter aortic valve replacement: a systematic review. Cardiovasc Revascularization Med Mol Interv. 2020;21(7):917–26. https://doi.org/10.1016/j.carrev.2019.12.012.CrossRef

Modine T, Lemesle G, Azzaoui R, Sudre A. Aortic valve implantation with the CoreValve ReValving system via left carotid artery access: first case report. J Thorac Cardiovasc Surg. 2010;140(4):928–9. https://doi.org/10.1016/j.jtcvs.2010.03.001.CrossRefPubMed

Kim W-K, Möllmann H, Liebetrau C, Renker M, Rolf A, Simon P, et al. The ACURATE neo Transcatheter heart valve: a comprehensive analysis of predictors of procedural outcome. JACC Cardiovasc Interv. 2018;11(17):1721–9. https://doi.org/10.1016/j.jcin.2018.04.039.CrossRefPubMed

Okuno T, Lanz J, Pilgrim T. ACURATE neo: how is this TAVR valve doing to fit into an increasingly crowded field? Curr Cardiol Rep. 2020;22(10):107. https://doi.org/10.1007/s11886-020-01364.CrossRefPubMedPubMedCentral

Title: ACURATE neo™ aortic valve implantation via carotid artery access: first case report
Authors: Chadi Aludaat
Alexandre Canville
Quentin Landolff
Matthieu Godin
Fabrice Bauer
Fabien Doguet
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Aortic Valve Replacement
Aortic Valve Replacement
Aortic Valve Replacement
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01544-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

ACURATE neo™ aortic valve implantation via carotid artery access: first case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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