Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Ryan AzarrafiyMauricio G Cohen

Abstract

Aortic annular rupture is one of the most feared complications of transcatheter aortic valve replacement (TAVR). This complication often presents as sudden cardiac tamponade with hypotension and requires urgent intervention. The traditional rescue strategy for such cases is emergency surgical intervention, yet the mortality remains high considering most patients who undergo TAVR are not candidates for open heart surgery. As such, there is a need for percutaneous alternatives to treat this critical complication. Here, we describe a case of annular rupture during TAVR that was successfully treated with coil embolization at the rupture site. This case illustrates the use of coil embolization as a treatment strategy in patients with acute aortic annular rupture who are at high-risk for surgical intervention.

References

Jun 15, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Daniel P GrieseJörg Babin-Ebell
Mar 20, 2015·Journal of the American College of Cardiology·Thomas WaltherUNKNOWN GARY Executive Board
Dec 3, 2015·JACC. Cardiovascular Interventions·Nicolas PilieroGilles Barone-Rochette
Oct 21, 2016·Wiener klinische Wochenschrift·Daniel UnicIgor Rudez
Sep 6, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Saumya ShahCharanjit S Rihal

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Citations

Sep 17, 2019·Journal of the American Heart Association·Roberto ScarsiniAdrian P Banning
Jul 2, 2021·Current Cardiology Reports·Nina C WunderlichRobert J Siegel

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