The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Fracture of the delivery catheter system during transcatheter aortic valve implantation

EuroIntervention 2021;17:e353-e354. DOI: 10.4244/EIJ-D-20-00748

1. Department of Cardiology, Galway University Hospital, Galway, Ireland; 2. National University of Ireland Galway, Galway, Ireland


Figure 1. Delivery catheter system fracture during TAVI. A) Moderately calcified and tortuous iliofemoral arteries. B) & C) Moderately calcified and angulated trileaflet aortic valve. D) & E) Positioning, deployment and recapture of a 34 mm Evolut R valve. F) – H) Fractured delivery catheter system. Reproduced with permission from Medtronic.

An 87-year-old male with severe symptomatic aortic stenosis was accepted for transcatheter aortic valve implantation (TAVI) via transfemoral approach (Figure 1). Multislice computed tomo-graphy demonstrated moderately calcified and tortuous iliofemoral arteries (minimal lumen diameter 10.4 mm) (Figure 1A), and a moderately calcified and angulated trileaflet aortic valve (aortic annulus perimeter 85.0 mm; ...

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