Journal
INTERNATIONAL JOURNAL OF CARDIOLOGY
Volume 353, Issue -, Pages 46-48Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijcard.2022.01.061
Keywords
Transcarotid; TAVI; TAVR; Cranial nerve injury
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Funding
- Mediterranean Academic Research and Studies in Cardiology association (MARS Cardio)
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This study found that cranial nerve injury (CNI) is a potential complication of TC-TAVR and it may have clinically important implications for patients' vocal function.
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.
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