Successful bailout of Sapien 3 valve balloon rupture during transcatheter valve implantation via transaortic approach

Takamura, Takeshi; Inoue, Ryosai; Seko, Tetsuya; Tokui, Toshiya; Kasai, Atsushi; M, Ito

doi:10.1007/s12928-019-00630-9

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2020

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“…To the best of our knowledge, this is the first case of SAPIEN‐3 delivery system rupture and intraventricular entrapment of the fractured equipment during TA‐TAVR. Opposite to the above‐mentioned cases, 2‐7 preoperative CT scan (Figure 1) did not show any significant calcified bulky mass, which could have caused balloon rupture. The nose cone did not severed from the wire lumen, avoiding the risk of distal embolization.…”

Section: Commentmentioning

confidence: 75%

“…The under‐expansion of the stent caused significant paravalvular leak requiring post‐dilatation 2 . Several authors reported circumferential balloon rupture during TF‐TAVR with both SAPIEN 4 and SAPIEN‐XT 5 and during both TF‐TAVR 6 and transaortic‐TAVR 7 with SAPIEN‐3. In 2019, Edwards Lifesciences Corporation warned about the risk of balloon rupture during TF implantation of SAPIEN‐Ultra 8 .…”

Section: Commentmentioning

confidence: 99%

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