{
  "abstract": "Background/Objectives: Transcatheter aortic valve implantation through the common carotid artery (TC-TAVI) is one of the possible treatment options for patients with ineligible transfemoral approach. The aim of our study was to evaluate the efficacy and safety of patients treated with TC-TAVI in early and long-term follow-up. Methods: The study included patients with severe aortic stenosis treated with TC-TAVI. In-hospital outcomes, early, long-term follow-up were presented in accordance with the VARC-3 recommendations. Results: The analysis presented 101 patients. We observed high procedural success-97% (n = 98). The number of VARC-3 incidents: 3.96% major vascular complications; 0.99% myocardial infarction; 0.99% cardiac tamponade; 0.99% life-threatening bleeding; 3.96% cerebrovascular incidents. The NYHA class decreased significantly compared to the pre-procedure value (2 [1–2] vs. 3 [3–3]; p < 0.001). There was a significant improvement in postprocedural cerebral oximetry values compared to baseline on both the implanted and contralateral sides (67.5 [63–71]% vs. 70 [63.5–75]%; p < 0.05) and (67 [64–71]% vs. 71 [64–76]%; p < 0.05), respectively. The 30-day, 1-year, and 2-year survival rates were 94.1%, 80.2%, and 69.3%, respectively. In the univariate analysis, BAV (HR 4.54; 95% CI: 1.14–17.99; p = 0.03) and LVEF ≤ 35% (HR 7.32; 95% CI: 2.59–20.65; p < 0.001) were significantly associated with two-year mortality. In an exploratory adjusted Cox regression analysis, BAV (HR 2.63; 95% CI: 1.07–6.45; p = 0.03) and LVEF ≤ 35% (HR 3.48; 95% CI: 1.67–7.24; p < 0.001) were associated with higher 2-year mortality. Conclusions: Our single-center, observational report indicated feasibility and good observed outcomes of the TC-TAVI procedure in an experienced clinical team.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiac Surgery, Medical University of Silesia, 40-635 Katowice, Poland",
    "Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-635 Katowice, Poland",
    "Department of Electrocardiology and Heart Failure, Medical University of Silesia, 40-635 Katowice, Poland"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Damian Hudziak",
      "orcid": "0000-0003-3715-0697"
    },
    {
      "affs": [
        1
      ],
      "name": "Monika Gruz-Kwapisz"
    },
    {
      "affs": [
        1
      ],
      "name": "Radosław Parma",
      "orcid": "0000-0002-7304-7315"
    },
    {
      "affs": [
        1
      ],
      "name": "Wojciech Wańha",
      "orcid": "0000-0003-1220-9496"
    },
    {
      "affs": [
        2
      ],
      "name": "Sylwia Gładysz-Wańha",
      "orcid": "0000-0002-8770-8321"
    },
    {
      "affs": [
        1
      ],
      "name": "Wojciech Wojakowski"
    },
    {
      "affs": [
        0
      ],
      "name": "Radosław Gocoł",
      "orcid": "0000-0002-2097-1918"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5t1sxagn9hcy1.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15207917",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13705732/?tool=EBI",
  "id": "5t1sxagn9hcy1",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/7917",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2705|Cardiac Valve Diseases and Treatments"
    ]
  ],
  "openalex": "W7221757222",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13705732/pdf/?tool=EBI",
  "pmcid": "PMC13705732",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/5t1sxagn9hcy1.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:00Z",
      "native_id": "10.3390/jcm15207917",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/7917"
    },
    {
      "first_seen": "2026-10-30T12:21:31Z",
      "native_id": "PMC:PMC13705732",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13705732"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac Valve Diseases and Treatments",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Early and Long-Term Results of 101 Consecutive Patients After Transcarotid Transcatheter Aortic Valve Implantation",
  "title_text": "Early and Long-Term Results of 101 Consecutive Patients After Transcarotid Transcatheter Aortic Valve Implantation",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:31Z",
  "url": "https://research.draconitic.com/paper/5t1sxagn9hcy1",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}