Farge Arnaud, Youssari Amir, Oroudji Mohamad, Fouda Mahmoud
Cardiovascular Surgery Center, Jacques Cartier Hospital, 6 Avenue du Noyer Lambret, 91300 Massy, France.
Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):55-58. doi: 10.1007/s12055-018-0685-4. Epub 2018 Jul 12.
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).
当更传统的方法存在禁忌时，经颈动脉途径仍是经导管主动脉瓣植入术（TAVI）的安全路径。我们报告了一系列3例严重主动脉瓣狭窄（AS）且同侧颈内动脉（ICA）有症状性明显狭窄的高手术风险患者。所有患者均在我们中心于同一环境下首先成功接受了内膜切除术，随后进行了TAVI，术后过程平稳，无新的神经功能缺损（莫迪纳等人，《胸心血管外科杂志》。140:928 - 9，2010年；阿兹穆恩等人，《欧洲心胸外科杂志》。46:693 - 8，2014年；奥韦尔丘克等人，《心胸外科手术年鉴》。6(5):555 - 7，2017年）。
