Combined transcarotid transcatheter aortic valve implantation and endarterectomy of the ipsilateral internal carotid artery.

The transcarotid pathway remains a safe route for transcatheter aortic valve implantation (TAVI) when more traditional approaches are contraindicated. We report a series of three patients with severe aortic stenosis (AS) and symptomatic significant stenosis of the ipsilateral internal carotid artery (ICA) in patients with high operative risk. All patients were treated successfully within the same setting in our center by endarterectomy first followed by a TAVI with an uneventful postoperative course without new neurological deficits (Modine et al. in J Thorac Cardiovasc Surg. 140:928-9, 2010; Azmoun et al. in Eur J Cardiothorac Surg. 46:693-8, 2014; Overtchouk et al. in Ann Cardiothorac Surg. 6(5):555-7, 2017).