Cranial nerve injury during transcarotid transcatheter aortic valve replacement.
Cranial nerve injury
TAVI
TAVR
Transcarotid
Journal
International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291
Informations de publication
Date de publication:
15 Apr 2022
15 Apr 2022
Historique:
received:
02
12
2021
revised:
26
01
2022
accepted:
28
01
2022
pubmed:
4
2
2022
medline:
15
4
2022
entrez:
3
2
2022
Statut:
ppublish
Résumé
No data exist about cranial nerve injury (CNI) as a potential complication of transcarotid (TC) transcatheter valve replacement (TAVR). This monocentric study included 318 consecutive patients undergoing TC-TAVR from May 2015 to August 2021. CNI occurred in 7 (2.2%) TAVR-TC patients. Five out of the 7 patients (71.4%) had an injury of the laryngeal branch of the vagus nerve, and 2 patients (28.6%) had an injury of the facial nerve. The majority of patients were male (85.7%), with high body mass index (35.6 (IQR: 30.1-37.3) kg/m2). The induced disabilities were clinically important especially for patients with dysphonia. CNI is a potential complication of TC-TAVR likely avoidable by a meticulous surgical technique. Structural heart teams must be aware of this serious setback.
Sections du résumé
BACKGROUND
BACKGROUND
No data exist about cranial nerve injury (CNI) as a potential complication of transcarotid (TC) transcatheter valve replacement (TAVR).
METHODS
METHODS
This monocentric study included 318 consecutive patients undergoing TC-TAVR from May 2015 to August 2021.
RESULTS
RESULTS
CNI occurred in 7 (2.2%) TAVR-TC patients. Five out of the 7 patients (71.4%) had an injury of the laryngeal branch of the vagus nerve, and 2 patients (28.6%) had an injury of the facial nerve. The majority of patients were male (85.7%), with high body mass index (35.6 (IQR: 30.1-37.3) kg/m2). The induced disabilities were clinically important especially for patients with dysphonia.
CONCLUSIONS
CONCLUSIONS
CNI is a potential complication of TC-TAVR likely avoidable by a meticulous surgical technique. Structural heart teams must be aware of this serious setback.
Identifiants
pubmed: 35114203
pii: S0167-5273(22)00187-5
doi: 10.1016/j.ijcard.2022.01.061
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
46-48Commentaires et corrections
Type : CommentIn
Informations de copyright
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