International journal of cardiology · 2022
Cranial nerve injury during transcarotid transcatheter aortic valve replacement.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Panagides Vassili, Kalavrouziotis Dimitri, Dumont Eric, Delarochellière Robert, Paradis Jean-Michel, Mesnier Jules, Mohammadi Siamak, Rodés-Cabau Josep
Аннотация
BACKGROUND: No data exist about cranial nerve injury (CNI) as a potential complication of transcarotid (TC) transcatheter valve replacement (TAVR).
METHODS: This monocentric study included 318 consecutive patients undergoing TC-TAVR from May 2015 to August 2021.
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: 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.
METHODS: This monocentric study included 318 consecutive patients undergoing TC-TAVR from May 2015 to August 2021.
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: 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.