Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?

Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been de...
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Autor*in:	Salihu, Adil [verfasserIn] Rotzinger, David C. [verfasserIn] Fahrni, Guillaume [verfasserIn] Nowacka, Anna [verfasserIn] Antiochos, Panagiotis [verfasserIn] Fournier, Stephane [verfasserIn] Muller, Olivier [verfasserIn] Kirsch, Matthias [verfasserIn] Lu, Henri [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Computational vascular modeling TAVI TAVR Transcarotid Vascular access, Vessel tortuosity

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: Journal of cardiothoracic surgery - BioMed Central, 2006, 19(2024), 1 vom: 10. Apr.
Übergeordnetes Werk:	volume:19 ; year:2024 ; number:1 ; day:10 ; month:04

Links:	Volltext

DOI / URN:	10.1186/s13019-024-02661-7

Katalog-ID:	SPR055483828

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520			\|a Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience.
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allfields	10.1186/s13019-024-02661-7 doi (DE-627)SPR055483828 (SPR)s13019-024-02661-7-e DE-627 ger DE-627 rakwb eng 610 VZ Salihu, Adil verfasserin aut Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right? 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. Computational vascular modeling (dpeaa)DE-He213 TAVI (dpeaa)DE-He213 TAVR (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 Vascular access, Vessel tortuosity (dpeaa)DE-He213 Rotzinger, David C. verfasserin aut Fahrni, Guillaume verfasserin aut Nowacka, Anna verfasserin aut Antiochos, Panagiotis verfasserin aut Fournier, Stephane verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Lu, Henri verfasserin (orcid)0000-0002-9074-6505 aut Enthalten in Journal of cardiothoracic surgery BioMed Central, 2006 19(2024), 1 vom: 10. Apr. (DE-627)509401260 (DE-600)2227224-0 1749-8090 nnns volume:19 year:2024 number:1 day:10 month:04 https://dx.doi.org/10.1186/s13019-024-02661-7 X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 10 04
spelling	10.1186/s13019-024-02661-7 doi (DE-627)SPR055483828 (SPR)s13019-024-02661-7-e DE-627 ger DE-627 rakwb eng 610 VZ Salihu, Adil verfasserin aut Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right? 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. Computational vascular modeling (dpeaa)DE-He213 TAVI (dpeaa)DE-He213 TAVR (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 Vascular access, Vessel tortuosity (dpeaa)DE-He213 Rotzinger, David C. verfasserin aut Fahrni, Guillaume verfasserin aut Nowacka, Anna verfasserin aut Antiochos, Panagiotis verfasserin aut Fournier, Stephane verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Lu, Henri verfasserin (orcid)0000-0002-9074-6505 aut Enthalten in Journal of cardiothoracic surgery BioMed Central, 2006 19(2024), 1 vom: 10. Apr. (DE-627)509401260 (DE-600)2227224-0 1749-8090 nnns volume:19 year:2024 number:1 day:10 month:04 https://dx.doi.org/10.1186/s13019-024-02661-7 X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 10 04
allfields_unstemmed	10.1186/s13019-024-02661-7 doi (DE-627)SPR055483828 (SPR)s13019-024-02661-7-e DE-627 ger DE-627 rakwb eng 610 VZ Salihu, Adil verfasserin aut Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right? 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. Computational vascular modeling (dpeaa)DE-He213 TAVI (dpeaa)DE-He213 TAVR (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 Vascular access, Vessel tortuosity (dpeaa)DE-He213 Rotzinger, David C. verfasserin aut Fahrni, Guillaume verfasserin aut Nowacka, Anna verfasserin aut Antiochos, Panagiotis verfasserin aut Fournier, Stephane verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Lu, Henri verfasserin (orcid)0000-0002-9074-6505 aut Enthalten in Journal of cardiothoracic surgery BioMed Central, 2006 19(2024), 1 vom: 10. Apr. (DE-627)509401260 (DE-600)2227224-0 1749-8090 nnns volume:19 year:2024 number:1 day:10 month:04 https://dx.doi.org/10.1186/s13019-024-02661-7 X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 10 04
allfieldsGer	10.1186/s13019-024-02661-7 doi (DE-627)SPR055483828 (SPR)s13019-024-02661-7-e DE-627 ger DE-627 rakwb eng 610 VZ Salihu, Adil verfasserin aut Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right? 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. Computational vascular modeling (dpeaa)DE-He213 TAVI (dpeaa)DE-He213 TAVR (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 Vascular access, Vessel tortuosity (dpeaa)DE-He213 Rotzinger, David C. verfasserin aut Fahrni, Guillaume verfasserin aut Nowacka, Anna verfasserin aut Antiochos, Panagiotis verfasserin aut Fournier, Stephane verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Lu, Henri verfasserin (orcid)0000-0002-9074-6505 aut Enthalten in Journal of cardiothoracic surgery BioMed Central, 2006 19(2024), 1 vom: 10. Apr. (DE-627)509401260 (DE-600)2227224-0 1749-8090 nnns volume:19 year:2024 number:1 day:10 month:04 https://dx.doi.org/10.1186/s13019-024-02661-7 X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 10 04
allfieldsSound	10.1186/s13019-024-02661-7 doi (DE-627)SPR055483828 (SPR)s13019-024-02661-7-e DE-627 ger DE-627 rakwb eng 610 VZ Salihu, Adil verfasserin aut Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right? 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. Computational vascular modeling (dpeaa)DE-He213 TAVI (dpeaa)DE-He213 TAVR (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 Vascular access, Vessel tortuosity (dpeaa)DE-He213 Rotzinger, David C. verfasserin aut Fahrni, Guillaume verfasserin aut Nowacka, Anna verfasserin aut Antiochos, Panagiotis verfasserin aut Fournier, Stephane verfasserin aut Muller, Olivier verfasserin aut Kirsch, Matthias verfasserin aut Lu, Henri verfasserin (orcid)0000-0002-9074-6505 aut Enthalten in Journal of cardiothoracic surgery BioMed Central, 2006 19(2024), 1 vom: 10. Apr. (DE-627)509401260 (DE-600)2227224-0 1749-8090 nnns volume:19 year:2024 number:1 day:10 month:04 https://dx.doi.org/10.1186/s13019-024-02661-7 X:VERLAG 0 kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2024 1 10 04
language	English
source	Enthalten in Journal of cardiothoracic surgery 19(2024), 1 vom: 10. Apr. volume:19 year:2024 number:1 day:10 month:04
sourceStr	Enthalten in Journal of cardiothoracic surgery 19(2024), 1 vom: 10. Apr. volume:19 year:2024 number:1 day:10 month:04
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Computational vascular modeling TAVI TAVR Transcarotid Vascular access, Vessel tortuosity
dewey-raw	610
isfreeaccess_bool	true
container_title	Journal of cardiothoracic surgery
authorswithroles_txt_mv	Salihu, Adil @@aut@@ Rotzinger, David C. @@aut@@ Fahrni, Guillaume @@aut@@ Nowacka, Anna @@aut@@ Antiochos, Panagiotis @@aut@@ Fournier, Stephane @@aut@@ Muller, Olivier @@aut@@ Kirsch, Matthias @@aut@@ Lu, Henri @@aut@@
publishDateDaySort_date	2024-04-10T00:00:00Z
hierarchy_top_id	509401260
dewey-sort	3610
id	SPR055483828
language_de	englisch
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The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. 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author	Salihu, Adil
spellingShingle	Salihu, Adil ddc 610 misc Computational vascular modeling misc TAVI misc TAVR misc Transcarotid misc Vascular access, Vessel tortuosity Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?
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topic_title	610 VZ Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right? Computational vascular modeling (dpeaa)DE-He213 TAVI (dpeaa)DE-He213 TAVR (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 Vascular access, Vessel tortuosity (dpeaa)DE-He213
topic	ddc 610 misc Computational vascular modeling misc TAVI misc TAVR misc Transcarotid misc Vascular access, Vessel tortuosity
topic_unstemmed	ddc 610 misc Computational vascular modeling misc TAVI misc TAVR misc Transcarotid misc Vascular access, Vessel tortuosity
topic_browse	ddc 610 misc Computational vascular modeling misc TAVI misc TAVR misc Transcarotid misc Vascular access, Vessel tortuosity
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title	Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?
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title_full	Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?
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author_browse	Salihu, Adil Rotzinger, David C. Fahrni, Guillaume Nowacka, Anna Antiochos, Panagiotis Fournier, Stephane Muller, Olivier Kirsch, Matthias Lu, Henri
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title_sort	transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?
title_auth	Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?
abstract	Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. © The Author(s) 2024
abstractGer	Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. © The Author(s) 2024
abstract_unstemmed	Background The transcarotid (TC) vascular access for transcatheter aortic valve implantation (TAVI) has emerged as the first-choice alternative to the transfemoral access, in patients unsuitable for the latter. The use of both the left and right common carotid arteries (CCAs) for TC-TAVI has been described, but the optimal side is subject to debate. We conducted this pilot study to compare the level of vessel tortuosity and plaque burden from either the left CCA to the aortic annulus, or the right CCA to the aortic annulus, considering them as surrogates for technical and procedural complexity. Methods Consecutive patients who underwent TC-TAVI between 2018 and 2021 in our institution were included. Using three-dimensional reconstruction, pre-TAVI neck and chest computed tomography angiography exams were reviewed to assess the tortuosity index (TI), sum of angles metric, as well as plaque burden, between each CCA and the aortic annulus. Results We included 46 patients who underwent TC-TAVI. No significant difference regarding the mean TIs between the left and right sides (respectively 1.20 and 1.19, p = 0.82), the mean sum of angles (left side: 396°, right side: 384°, p = 0.27), and arterial plaque burden (arterial plaque found in 30% of left CCAs and 45% of right CCAs, p = 0.19) was found. Conclusions We found no convincing data favoring the use of one particular access side over the other one. The choice of the CCA side in TC-TAVI should to be made on a case-by-case basis, in a multidisciplinary fashion, and may also depend on the operators’ experience. © The Author(s) 2024
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title_short	Transcarotid vascular access for transcatheter aortic valve implantation: is choosing the left side always right?
url	https://dx.doi.org/10.1186/s13019-024-02661-7
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author2	Rotzinger, David C. Fahrni, Guillaume Nowacka, Anna Antiochos, Panagiotis Fournier, Stephane Muller, Olivier Kirsch, Matthias Lu, Henri
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