FIRST SUCCESSFUL TRANSCATHETER AORTIC VALVE REPLACEMENT VIA CAROTID ARTERY PERFORMED IN VIETNAM

Lân Hiếu Nguyễn , Quang Thắng Bùi, Văn Nhơn Bùi, Việt Dũng Trần

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Abstract

Transcatheter aortic valve implantation (TAVI) is a cardiovascular interventional technique that is increasingly developing in Vietnam as well as around the world. Normally, the TAVI procedure will be performed through the femoral artery. In cases where access through the femoral artery is not possible, performing the procedure will be much more difficult and complicated. This article describes the first successfully performed TAVI through the left common carotid artery in Vietnam. The patient is a 79-year-old man with severe aortic valve stenosis and is indicated for TAVI. When implementing computed tomography of the aorta, there was severe coarctation of the aorta, so access to TAVI through the femoral artery was impossible. After a very thorough evaluation, we decided to proceed with TAVI via the left common carotid artery, and the procedure has been done successfully without neurological complications.

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References

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