Serial angioscopy during treatments for ProGlide-related femoral occlusion following transcatheter aortic valve implantation

Abstract

Percutaneous transfemoral (TF) approach using vascular closure devices (VCDs) is one of the most favorable strategies in transcatheter aortic valve implantation (TAVI) [1,2]. However, VCDrelated vascular complications, such as stenosis, occlusion, bleeding, hematoma, and the formation of a pseudoaneurysm, sometimes occur [3]. For these complications, especially stenosis or occlusion, endovascular therapy (EVT) is considered one of the viable options; however, the strategy of EVT has not been established. We report a case of a ProGlide (Abbott Vascular, Santa Clara, CA, USA)-related femoral occlusion treated with balloon angioplasty under angioscopy guidance. Case reportAn 83-year-old woman with severe aortic stenosis underwent TF-TAVI using a 14 Fr e-sheath (Edwards Lifesciences, Irvine, CA, USA) via the right femoral artery (FA). Pre-procedural computed