Cranial nerve injury during transcarotid transcatheter aortic valve replacement

Vassili Panagides; Dimitri Kalavrouziotis; Eric Dumont; Robert Delarochellière; Jean-Michel Paradis; Jules Mesnier; Siamak Mohammadi; Josep Rodés-Cabau

doi:10.1016/j.ijcard.2022.01.061

Cranial nerve injury during transcarotid transcatheter aortic valve replacement

Int J Cardiol. 2022 Apr 15:353:46-48. doi: 10.1016/j.ijcard.2022.01.061. Epub 2022 Jan 31.

Authors

Vassili Panagides¹, Dimitri Kalavrouziotis¹, Eric Dumont¹, Robert Delarochellière¹, Jean-Michel Paradis¹, Jules Mesnier¹, Siamak Mohammadi¹, Josep Rodés-Cabau²

Affiliations

¹ Quebec Heart & Lung Institute, Laval University, Quebec City, QC, Canada.
² Quebec Heart & Lung Institute, Laval University, Quebec City, QC, Canada. Electronic address: [email protected].

PMID: 35114203
DOI: 10.1016/j.ijcard.2022.01.061

Abstract

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.

Keywords: Cranial nerve injury; TAVI; TAVR; Transcarotid.

MeSH terms

Aortic Valve / surgery
Aortic Valve Stenosis* / surgery
Cranial Nerve Injuries* / surgery
Female
Humans
Male
Risk Factors
Transcatheter Aortic Valve Replacement* / adverse effects
Transcatheter Aortic Valve Replacement* / methods
Treatment Outcome