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Tex Heart Inst J. 2014 Dec 1;41(6):641-4. doi: 10.14503/THIJ-13-3447. eCollection 2014 Dec.

Percutaneous management of RetroFlex 3 balloon rupture and separation of the Edwards Sapien delivery system.

Abstract

We report the case of an 85-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with use of the Edwards Sapien(®) valve system. The procedure was complicated by rupture of the valve-deployment balloon, with separation and retention of the nose cone of the RetroFlex 3(®) delivery system in the iliac artery. Our endovascular retrieval of the equipment was successful, and we achieved access-site hemostasis by deploying a covered stent. To our knowledge, this is the first report of the endovascular retrieval of a malfunctioning delivery system during transcatheter aortic valve replacement.

KEYWORDS:

Aged, 80 and over; cardiac catheterization/adverse effects; endovascular procedures/adverse effects/instrumentation; equipment failure; heart valve prosthesis implantation/adverse effects; iliac artery/injuries; treatment outcome

PMID:
25593532
PMCID:
PMC4251339
DOI:
10.14503/THIJ-13-3447
[Indexed for MEDLINE]
Free PMC Article

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