Korean Circ J.  2019 Mar;49(3):280-281. 10.4070/kcj.2018.0266.

Iliac Artery Rupture and Retroperitoneal Migration of a Stent Graft during Transcatheter Aortic Valve Replacement

• Choi JY
• Shim CY
• Hong GR
• Ahn CM
• Ko YG
• Hong MK

• KMID: 2438540
• DOI: http://doi.org/10.4070/kcj.2018.0266

Abstract

No abstract available.

MeSH Terms

Blood Vessel Prosthesis*
Iliac Artery*
Rupture*
Stents*
Transcatheter Aortic Valve Replacement*

Figure

• 

  Figure 1 Computed tomographic, fluoroscopic, and echocardiographic images. (A) Severe calcification from the iliac arteries to the descending aorta on computed tomography (CT). (B) Massive contrast media extravasation at the right iliac artery on abdominal aortic angiography (arrow). (C) Implantation of a 10×60 mm stent graft at the right iliac artery (solid line). (D) Advance of transcatheter aortic valve replacement (TAVR) system through the left iliac artery with balloon supporting at right common artery (E) Too deep positioning of aortic valve prosthesis on transesophageal echocardiography. (F) Too shallow positioning of aortic valve prosthesis on transesophageal echocardiography. (G) Good positioning of aortic valve prosthesis on transesophageal echocardiography. (H) Good positioning of aortic valve prosthesis on fluoroscopy. (I) Migration of the stent graft into her abdominal space (solid line). (J) No contrast media extravasation after implantation of 2 stent grafts (dotted line). (K) The migrated stent graft inside a massive retroperitoneal hematoma on CT (solid line). (L) Good flow through the stent-grafts on Doppler ultrasound (dotted line).