Cargando…
Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has revolutionised the treatment of severe aortic stenosis, but is still associated with a risk of major vascular complication. CASE SUMMARY: An elective transfemoral TAVI was undertaken for severe aortic stenosis. During delivery of a 26mm...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10236206/ https://www.ncbi.nlm.nih.gov/pubmed/37275435 http://dx.doi.org/10.1093/ehjcr/ytad229 |
_version_ | 1785052864088899584 |
---|---|
author | Chapman, Andrew R Russell-Dalton, Anastasia Holland, James Flapan, Andrew D |
author_facet | Chapman, Andrew R Russell-Dalton, Anastasia Holland, James Flapan, Andrew D |
author_sort | Chapman, Andrew R |
collection | PubMed |
description | BACKGROUND: Transcatheter aortic valve implantation (TAVI) has revolutionised the treatment of severe aortic stenosis, but is still associated with a risk of major vascular complication. CASE SUMMARY: An elective transfemoral TAVI was undertaken for severe aortic stenosis. During delivery of a 26mm Sapien S3 valve, the delivery system sheath (eSheath) split prematurely. The valve could not be advanced, and lay parallel to the sheath body. Following advice, an attempt was made to remove the system en bloc but this was unsuccessful. After careful consideration of alternative options, the valve was advanced with reasonable force and the case was completed successfully. The femoral artery was closed with parclose sutures without major vascular complication. DISCUSSION: Early recognition of a split sheath with effective communication between lab team members and the manufacturer allowed us to successfully navigate this case, with a good outcome for our patient. |
format | Online Article Text |
id | pubmed-10236206 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-102362062023-06-03 Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report Chapman, Andrew R Russell-Dalton, Anastasia Holland, James Flapan, Andrew D Eur Heart J Case Rep Case Report BACKGROUND: Transcatheter aortic valve implantation (TAVI) has revolutionised the treatment of severe aortic stenosis, but is still associated with a risk of major vascular complication. CASE SUMMARY: An elective transfemoral TAVI was undertaken for severe aortic stenosis. During delivery of a 26mm Sapien S3 valve, the delivery system sheath (eSheath) split prematurely. The valve could not be advanced, and lay parallel to the sheath body. Following advice, an attempt was made to remove the system en bloc but this was unsuccessful. After careful consideration of alternative options, the valve was advanced with reasonable force and the case was completed successfully. The femoral artery was closed with parclose sutures without major vascular complication. DISCUSSION: Early recognition of a split sheath with effective communication between lab team members and the manufacturer allowed us to successfully navigate this case, with a good outcome for our patient. Oxford University Press 2023-05-09 /pmc/articles/PMC10236206/ /pubmed/37275435 http://dx.doi.org/10.1093/ehjcr/ytad229 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Chapman, Andrew R Russell-Dalton, Anastasia Holland, James Flapan, Andrew D Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
title | Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
title_full | Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
title_fullStr | Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
title_full_unstemmed | Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
title_short | Navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
title_sort | navigating premature rupture of the expandable sheath delivery system during elective transfemoral transcatheter aortic valve implantation: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10236206/ https://www.ncbi.nlm.nih.gov/pubmed/37275435 http://dx.doi.org/10.1093/ehjcr/ytad229 |
work_keys_str_mv | AT chapmanandrewr navigatingprematureruptureoftheexpandablesheathdeliverysystemduringelectivetransfemoraltranscatheteraorticvalveimplantationacasereport AT russelldaltonanastasia navigatingprematureruptureoftheexpandablesheathdeliverysystemduringelectivetransfemoraltranscatheteraorticvalveimplantationacasereport AT hollandjames navigatingprematureruptureoftheexpandablesheathdeliverysystemduringelectivetransfemoraltranscatheteraorticvalveimplantationacasereport AT flapanandrewd navigatingprematureruptureoftheexpandablesheathdeliverysystemduringelectivetransfemoraltranscatheteraorticvalveimplantationacasereport |