Death due to transprosthetic catheterization of a Björk-Shiley prosthesis in the aortic position

Horstkotte, Dieter; Jehle, J; Loogen, F

doi:10.1016/0002-9149(86)90042-1

Cited by 33 publications

(18 citation statements)

References 6 publications

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“…However the transapical approach is technically demanding and carries a high risk of complications [3]. We are aware of the potential hazards of our technique, but we note that the cases of harmful prosthesis dysfunction have been always related to retrograde crossing by large catheters of monoleaflet mechanical valve [4,5]. We suppose that a 0.035 in.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Closure of Mitral Paravalvular Leak with an Arteriovenous Wire Loop through an Aortic Mechanical Valve Prosthesis

Confessore

Fiorilli

Scappaticci

et al. 2012

Heart, Lung and Circulation

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Section: Discussionmentioning

confidence: 99%

Transcatheter Closure of Mitral Paravalvular Leak with an Arteriovenous Wire Loop through an Aortic Mechanical Valve Prosthesis

Confessore

Fiorilli

Scappaticci

et al. 2012

Heart, Lung and Circulation

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“…9 The risks of catheter entrapment, hypotension, life-threatening valvular insufficiency, and death have shown that crossing these valves is undesirable. 1, 2, 10, 11 Coronary pressure sensing wires have been used for invasive hemodynamic evaluation and measurement of bileaflet mechanical valve gradients. 12 However, these techniques are not suitable when larger catheters are needed to be introduced into the LV.…”

Section: Discussionmentioning

confidence: 99%

“…However, neither approach is feasible in the setting of mechanical aortic and mitral valve replacements, given the risk of catheter entrapment and death. 1, 2 Therefore, approaches that avoid traversing these valves, such as a percutaneous trans-apical approach, have been developed. 3-6 However, the trans-apical approach is associated with a significant rate of access related complications, particularly bleeding at the puncture site, and necessitates the placement of closure devices in the LV.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous interventricular septal access in a patient with aortic and mitral mechanical valves: A novel technique for catheter ablation of ventricular tachycardia

Vaseghi¹,

Macias²,

Tung³

et al. 2013

Heart Rhythm

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IntroductionCatheter ablation of ventricular tachycardia (VT) is typically performed using either the atrial transseptal approach or a retrograde aortic approach in order to gain access to the left ventricle (LV). However, neither approach is feasible in the setting of mechanical aortic and mitral valve replacements, given the risk of catheter entrapment and death. 1, 2 Therefore, approaches that avoid traversing these valves, such as a percutaneous trans-apical approach, have been developed. [3][4][5][6] However, the trans-apical approach is associated with a significant rate of access related complications, particularly bleeding at the puncture site, and necessitates the placement of closure devices in the LV. 7,8 We describe a novel percutaneous inter-ventricular transseptal puncture technique and placement of a sheath across the inter-ventricular septum for catheter ablation of VT. This method allowed for stable LV access and spontaneous closure of the septal access site. Case Report Clinical HistoryA 35-year-old male was referred to our center for catheter ablation of recurrent VT requiring multiple implantable cardiac defibrillator (ICD) therapies. He had undergone mechanical aortic and mitral valve replacements after developing endocarditis due to a dental abscess. Five years later, he suffered from sudden cardiac arrest and a single-lead ICD was placed. His ejection fraction was estimated at 35% and Q waves were noted on the ECG in the inferior leads. He subsequently suffered from VT storm with increasing number of ICD shocks and anti-tachycardia pace terminated (ATP) episodes despite therapy with sotalol and © 2013 The Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.Address for correspondence: Kalyanam Shivkumar, M.D., Ph.D., FHRS, UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, 100 UCLA Medical Plaza, Suite # 660, Los Angeles, CA 90095, 310-206-2235 (phone), 310-825 4251 (Fax), kshivkumar@mednet.ucla.edu. Disclosure: The Regents of the University of California, Los Angeles has intellectual property developed by the author (KS) that relate to data reported in this paper.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. amiodarone, and also developed trans-aminitis secondary to amiodarone. In the past year, he had suffered from 110 episodes of VT requiring either ATP or ICD shocks and was highly symptomatic, even during the ATP episodes. Given the presence of mechanical prostheses in the mitral and aortic valve positions, a novel method of LV access across the interventricular septum was discussed wi...

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“…Horstkotte et al [7] reported a case of death due to transprosthetic catheterization of an aortic valve prosthesis. There are two ways to carry out LV heart puncture, the transapical route and the transsubxiphoidal route.…”

Section: Discussionmentioning

confidence: 99%

Safety and clinical benefits of transsubxiphoidal left ventricular puncture

Zuguchi

Shindoh

Chida

et al. 2001

Cathet Cardio Intervent

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We performed a transsubxiphoidal LV puncture (TSLVP) to evaluate left ventricular function in 21 patients with both mechanical prosthetic aortic and mitral valves and successfully obtained hemodynamic information on each patient. Analyzing cardiac hemodynamic information and ventriculographic findings obtained with TSLVP, we concluded that seven of the patients required repair of their prosthetic valves. Five of these seven patients agreed to replacement of their valves, whereas two did not. TSLVP was performed adequately and safely without severe complications, suggesting that this maneuver is easier than that of transapical LV puncture and should be recommended for the assessment of left ventricular hemodynamic functions instead of the transapical LV puncture, especially in patients requiring replacement of two valves.

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Death due to transprosthetic catheterization of a Björk-Shiley prosthesis in the aortic position

Cited by 33 publications

References 6 publications

Transcatheter Closure of Mitral Paravalvular Leak with an Arteriovenous Wire Loop through an Aortic Mechanical Valve Prosthesis

Transcatheter Closure of Mitral Paravalvular Leak with an Arteriovenous Wire Loop through an Aortic Mechanical Valve Prosthesis

Percutaneous interventricular septal access in a patient with aortic and mitral mechanical valves: A novel technique for catheter ablation of ventricular tachycardia

Safety and clinical benefits of transsubxiphoidal left ventricular puncture

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