Interventions for valvular disease and heart failure

Percutaneous management of an embolised MANTA large bore arteriotomy closure device

EuroIntervention 2019;15:74-75. DOI: 10.4244/EIJ-D-18-01171

Yam-Hong Wong¹, MBBS, MRCP(UK), FHKCP, FHKAM; Ole De Backer¹, MD, PhD; Lars Søndergaard¹, MD, DMSc; Gintautas Bieliauskas¹, MD

1. The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

Figure 1. Percutaneous management of an embolised MANTA. A) & B) Working mechanism of the MANTA closure device. C) The embolised device and the active contrast extravasation from the arteriotomy wound. D) The further embolised device and successful haemostasis. E) The stabilised device with minimal residual stenosis.

A 74-year-old female with severe aortic valve stenosis was offered transfemoral transcatheter aortic valve implantation (TAVI) due to comorbidities and surgical risks. After an uneventful TAVI, closure of the right femoral arteriotomy was attempted with an 18 Fr MANTA™ vascular closure device (Essential Medical Inc., Exton, PA, USA). This novel closure device ...

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