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

Xavier Armario
Xavier Armario1, MD; Liesbeth Rosseel1, MD; Faisal Sharif1,2, MBBS, PhD; Darren Mylotte1,2, MBBCh, MD, PhD
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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