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Similar Publications

Percutaneous Carotid Access in Endovascular Aortic Arch Repair: Initial Experience.

J Endovasc Ther

November 2024

Vascular Center, Department of Thoracic Surgery and Vascular Diseases, Skåne University Hospital, Malmö, Sweden.

Article Synopsis
  • Direct percutaneous access to the carotid artery (diPerCa) during endovascular aortic arch repair (EVAAR) shows promise as a minimally invasive method, potentially reducing local complications compared to traditional surgical approaches.* -
  • A review of 13 patients using diPerCa reported a 92.3% technical success rate, with few complications such as one case of carotid pseudoaneurysm and minor issues like nerve palsy and dizziness.* -
  • The study concluded that diPerCa is a feasible option with low neurological and local complication rates, but highlights the need for further research to validate long-term outcomes.*
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Article Synopsis
  • * The standard transfemoral approach was unsuitable due to severe calcification and anatomical complications, leading to the decision to use the carotid artery instead.
  • * Post-surgery outcomes were positive, with no major complications like cerebral infarction and improvement in the patient's dialysis-related hypotension, suggesting this approach can be a safe alternative despite some risks.
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Background: Anatomical factors may preclude transfemoral (TF) arterial access for transcatheter aortic valve implantation (TAVI). Transcaval (TCav) access has been utilized as an alternative access for these patients. We aimed to investigate the outcomes of TCav access in patients undergoing TAVI.

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Background: Traditionally, extracranial carotid artery aneurysms or pseudoaneurysms (ECCAs) have been managed through open surgical repair. Recent literature highlights the increasing success of endovascular techniques in treating ECCAs. Our study explores our center's experience with endovascular management of ECCAs, including the innovative use of transcarotid artery revascularization (TCAR) at a tertiary-care center.

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Background: Differential access to new technologies may contribute to racial disparities in surgical outcomes but has not been well-studied in the treatment of carotid artery stenosis. We examined race-based differences in adoption and outcomes of transcarotid artery revascularization (TCAR) among high-risk non-Hispanic (NH) Black and NH white adults undergoing carotid revascularization.

Methods: We conducted a retrospective analysis of TCAR, transfemoral carotid artery stenting (TF-CAS), and carotid endarterectomy (CEA) procedures performed for carotid artery stenosis from January 2015 to July 2023 in the Vascular Quality Initiative.

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