ArticleJournal of vascular surgery cases and innovative techniques2026
Axillary conduit creation and passive femoral to carotid cerebral perfusion shunt creation for challenging transcatheter aortic valve placement.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Alternate access solutions are needed in patients where standard transfemoral delivery of transcatheter aortic valve replacement (TAVR) devices is deemed prohibitive. We present a case of a 78-year-old male patient with a past medical history significant for severe aortic arch disease, peripheral artery disease, and symptomatic aortic stenosis requiring an alternative access solution for TAVR. The combination of an axillary conduit with a transcarotid arterial revascularization arterial and venous sheath was utilized to create an access point for the TAVR device and an avenue for cerebral embolic protection with passive cerebral perfusion.
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