A very rare vascular complication of the Edwards expandable eSheath during transcatheter aortic valve replacement

Panagiotis Savvoulidis, Adnan M Nadir, Anthony Mechery, Sagar N Doshi*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Transcatheter aortic valve replacement (TAVR) has revolutionized the management of severe symptomatic aortic valve stenosis. TAVR is now indicated as an alternative to surgical replacement in a wide risk profile ranging from high to low surgical risk. Although vascular complications have decreased in frequency over time, with the introduction of lower profile delivery systems and sheaths, they remain one of the most frequently encountered and serious complications of TAVR. Patient-specific predisposing factors have been well characterized. However, much less is known about device-specific complications. Awareness of the possible device-related complications may lead to earlier identification, prompt management, and better outcomes. We report a previously unreported complication of the Edwards expandable eSheath that lead to avulsion of the external iliac artery following successful TAVR with a 29-mm Edwards Sapien 3 transcatheter heart valve. Bleeding was promptly controlled with an occlusion balloon and emergency surgical repair was required with a favorable outcome.

Original languageEnglish
Pages (from-to)660-667
Number of pages8
JournalCatheterization and Cardiovascular Interventions
Volume101
Issue number3
Early online date14 Jan 2023
DOIs
Publication statusPublished - 15 Feb 2023

Bibliographical note

© 2023 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.

Keywords

  • Humans
  • Transcatheter Aortic Valve Replacement/adverse effects
  • Prosthesis Design
  • Heart Valve Prosthesis
  • Treatment Outcome
  • Aortic Valve Stenosis/diagnostic imaging
  • Aortic Valve/diagnostic imaging

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