There are two sides to everything: two case reports on sequelae of rescue interventions to treat complications of transcatheter aortic valve implantation of the Medtronic CoreValve™ prosthesis

Zahn, Ralf; Schiele, Rudolf; Kilkowski, Caroline; Klein, Bärbel; Zeymer, Uwe; Werling, Christiane; Lehmann, Andreas; Layer, G.; Saggau, W

doi:10.1007/s00392-010-0166-2

Cited by 9 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ussia et al described three main reasons for TAVI dislocation; accidental dislocation immediately after valve implantation, dislocation during the snaring manoeuvre to reposition a low deployment, and intentional dislocation performed as a bailout in cases of coronary ostia impairment [20]. Zahn et al reported TAVI migration, to the ascending and descending aorta, occurring during few cardiac cycles following the valve deployment [21]. Mechanism of TAVI dislocation and its subsequent placement correction can be greatly affected by the TAVI deployment mechanism: self-expanding versus balloon-expanding [19].…”

Section: Discussionmentioning

confidence: 99%

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Novotný

Hlubocký

Kovárník

et al. 2017

Case Reports in Cardiology

View full text Add to dashboard Cite

We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI position. Patient underwent a surgical resection of TAVI with implantation of biological aortic valve prosthesis. In situations where TAVI treatment fails or is complicated beyond the possibility of endovascular repair, surgical intervention despite its higher risks is the preferred choice.

show abstract

Section: Discussionmentioning

confidence: 99%

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Novotný

Hlubocký

Kovárník

et al. 2017

Case Reports in Cardiology

View full text Add to dashboard Cite

show abstract

“…In hindsight, additional procedures could potentially have been performed at the same time. However, on the other hand, sequential complex procedures might have caused other complications, which could have been critical for the patient . If perfect CoreValve anchoring cannot be achieved and the continuous distortion is excessive, careful echocardiographic follow‐up is required.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of CoreValve dislocation is reported to be ∼3–12%, and an unfavorable anatomy, such as a curving of the ascending aorta, is considered as one of the anatomic risk factors for dislocation . Importantly, bailout procedures can be more complex and cause critical secondary complications .…”

Section: Introductionmentioning

confidence: 99%

Elective valve‐in‐valve implantation for migration of a corevalve in a patient with bicuspid aortic valve stenosis

Tanaka

Saïto

2015

Cathet Cardio Intervent

View full text Add to dashboard Cite

Transcatheter aortic valve implantation for bicuspid aortic valve stenosis (BAVS) is controversial, as its unfavorable anatomy may lead to device dislocation or malfunctioning. If device failure occurs, the bailout intervention can be more complex and technically challenging. We here report a unique case of late migration of a CoreValve (Medtronic, MN) implanted in a patient with BAVS, who was successfully treated with elective valve-in-valve implantation using the first valve as a firm scaffold after waiting for it to adhere at the migrated position. This new strategy may represent a useful salvage option for some patients with prosthesis migration.

show abstract

“…In contrast, TAVI procedures require manipulation of large-bore catheters, which may be complicated by vascular injury such as dissection or perforation of the ascending aorta, the aortic arch or the descending aorta. This may occur during any step of the intervention54 and has been reported in 0.6% of cases 55. Moreover, dilation of the stenotic aortic valve following BAV, particularly when using over-sized balloons may result in injury to the aortic root and ascending aorta 56.…”

Section: Prosthetic Valve Associated Complicationsmentioning

confidence: 99%

Transcatheter aortic valve implantation: prevention and management of complications

Stortecky

Buellesfeld

Wenaweser

et al. 2012

Heart

View full text Add to dashboard Cite

Assessment of elderly patients with severe aortic stenosis and decisions in terms of management strategy (conservative with or without balloon aortic valvuloplasty, transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement) are complex and warrant a multidisciplinary approach involving collaboration between experienced cardiac surgeons, interventional cardiologists, cardiac imaging specialists, anaesthesiologists, geriatricians and a specialised nursing staff. Patient history, comorbid conditions, perioperative risk stratification as well as anatomical and procedural considerations require careful review on an individual, case-by-case basis and have a major impact on treatment allocation. The aims of this article are to provide insights into the fundamental role of appropriate patient screening and selection, and to review the nature, management and prevention of the most important procedural complications associated with the TAVI procedure.

show abstract

There are two sides to everything: two case reports on sequelae of rescue interventions to treat complications of transcatheter aortic valve implantation of the Medtronic CoreValve™ prosthesis

Cited by 9 publications

References 21 publications

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

Elective valve‐in‐valve implantation for migration of a corevalve in a patient with bicuspid aortic valve stenosis

Transcatheter aortic valve implantation: prevention and management of complications

Contact Info

Product

Resources

About