Extracorporeal Femoro-Carotid Shunt for Transcarotid Transcatheter Aortic Valve Replacement

Robert Semco, BS; Ross G. McFall, MD; Jay Khambhati, MD; Pinak Shah, MD; David Gross, MD, PhD; Piotr S. Sobieszczyk, MD; Ashraf A. Sabe, MD

JACC: Case Reports (Jun 2024)

Extracorporeal Femoro-Carotid Shunt for Transcarotid Transcatheter Aortic Valve Replacement

Robert Semco, BS,
Ross G. McFall, MD,
Jay Khambhati, MD,
Pinak Shah, MD,
David Gross, MD, PhD,
Piotr S. Sobieszczyk, MD,
Ashraf A. Sabe, MD

Affiliations

Robert Semco, BS: Harvard Medical School, Boston, Massachusetts, USA
Ross G. McFall, MD: Division of Cardiac Surgery, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA; Address for correspondence: Dr Ross McFall, Brigham and Women’s Hospital, Harvard Medical School, Division of Cardiac Surgery, Department of Surgery, 15 Francis Street, Boston, Massachusetts 02115, USA.
Jay Khambhati, MD: Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Pinak Shah, MD: Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
David Gross, MD, PhD: Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Piotr S. Sobieszczyk, MD: Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Ashraf A. Sabe, MD: Division of Cardiac Surgery, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

Journal volume & issue: Vol. 29, no. 12
p. 102371

Abstract

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Transcatheter aortic valve replacement may be performed with a transcarotid approach when peripheral vascular disease is prohibitive for transfemoral access. In this case, a patient who presented in cardiogenic shock secondary to severe aortic stenosis developed electroencephalographic changes during transcarotid TAVR. A temporary extracorporeal femoro-carotid shunt permitted successful TAVR.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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