Abstract：
The indication for percutaneous aortic valve implantation (TAVI) has increased considerably in recent years, preferably using transfemoral access (TF); however, it is not clear which should be the preferred access in the event of contraindications to the latter. We present an 81-year-old patient with high surgical risk in whom a 50% obstruction of the descending aortic lumen was identified and so, a left transcarotid access was chosen. Numerous alternative approaches to the TF approach have been described in recent years. The transcarotid approach has been the one with the best results in different clinical reviews and the one that has been presented as the second alternative to TF in established algorithms. We report the first transcarotid TAVI implantation in Las Higueras Hospital, Talcahuano, Chile.
摘要：
近年来经皮主动脉瓣植入术（TAVI）的适应症大大增加，最好使用经股动脉入路(TF)；然而，目前尚不清楚在禁忌症的情况下，哪种应该是首选。我们介绍了一位81岁的高手术风险患者，其中发现了50％的降主动脉腔阻塞，因此，选择左侧经颈动脉通路.近年来已经描述了TF方法的许多替代方法。经颈动脉方法在不同的临床评价中具有最好的结果，并且在已建立的算法中被提出作为TF的第二种替代方法。我们报道了LasHigueras医院的首次经颈动脉TAVI植入术，Talcahuano,智利。
