Tangled wire in a Dacron band during Cardioband transcatheter tricuspid annuloplasty-How to solve the problem.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Mizuki MiuraFrancesco Maisano

Abstract

Transcatheter tricuspid valve intervention (TTVI) is an emerging treatment for patients with symptomatic severe tricuspid regurgitation (TR). Currently, the issues that arise during TTVI are unclear. Here, a 78-year-old woman with severe TR underwent transcatheter tricuspid valve annuloplasty using a Cardioband (Edwards Lifesciences, Irvine, CA). We attempted to cinch the Dacron band after anchoring; however, it was impossible to connect the distal tip of the size adjustment tool and the Dacron band because the cinching wire was tangled around the Dacron band. We resolved this issue without surgical intervention, and eventually cinched the annulus. Final echocardiography revealed dramatic TR reduction. To our knowledge, no study has reported a tangled wire in a Dacron band during Cardioband use. Clinicians should be aware of the risks accompanying this concern in case where it is impossible to connect the distal tip of the size adjustment tool and the Dacron band during cinching.

References

Mar 12, 2004·Journal of the American College of Cardiology·Jayant NathPaul A Heidenreich
Dec 17, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Jeong-Woo LeeJae-Kwan Song
Dec 3, 2014·JACC. Cardiovascular Imaging·Yan TopilskyMaurice Enriquez-Sarano
Oct 7, 2017·JACC. Cardiovascular Interventions·Maurizio TaramassoMartin B Leon
Nov 30, 2018·Minerva cardioangiologica·Mizuki MiuraMaurizio Taramasso
Apr 20, 2019·Journal of the American College of Cardiology·Georg NickenigFrancesco Maisano
Aug 10, 2019·Cardiovascular Intervention and Therapeutics·Noriaki TabataJan-Malte Sinning

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