Korean Circ J.  2020 Apr;50(4):372-373. 10.4070/kcj.2019.0324.

Successful Use of an eSheath for Failed Introduction of the Evolut R Valve during Transfemoral Transcatheter Aortic Valve Implantation

Affiliations
  • 1Department of Cardiovascular Medicine, Sapporo Cardio Vascular Clinic, Sapporo Heart Center, Sapporo, Japan. uk434471@gmail.com
  • 2Department of Cardiovascular Surgery, Sapporo Cardio Vascular Clinic, Sapporo Heart Center, Sapporo, Japan.
  • 3Department of Anesthesiology, Sapporo Cardio Vascular Clinic, Sapporo Heart Center, Sapporo, Japan.

Abstract

No abstract available.


MeSH Terms

Transcatheter Aortic Valve Replacement*

Figure

  • Figure 1 Computed tomographic, fluoroscopic, and intraprocedural images. (A) Pre-procedural multi-detector computed tomography revealed good caliber (>7.0 mm) with little calcification (a-c), but severe tortuosity in both external iliac arteries (blue arrows). (B) After stiff wire insertion, angiography showed a severe accordion phenomenon (red arrows). (C, D) Smooth delivery and implantation of a 29 mm Evolut R through the eSheath was successful. (E) Final angiography confirmed no major vascular complications.


Reference

1. Buzzatti N, Mangieri A, Cota L, et al. Use of double stiff wire allows successful transfemoral transcatheter aortic valve implantation through extreme thoracic aorta tortuosity. Circ Cardiovasc Interv. 2015; 8:e002331. PMID: 25794508.
2. Kaneko U, Kobayashi K, Hachinohe D, et al. Successful direct iliac transcatheter aortic valve implantation to overcome significant tortuosity of the thoracic aorta. Korean Circ J. 2018; 48:949–950. PMID: 30238714.
3. Naganuma T, Mitomo S, Yabushita H, Nakao T, Lazarevic A, Nakamura S. Buddy wire technique for successful transfemoral transcatheter aortic valve implantation through an extremely tortuous abdominal aorta: a basic technique in Asian patients? AsiaIntervention. 2017; 3:90–92.
4. Muller O, Hamilos M, Ntalianis A, Sarno G, De Bruyne B. Images in cardiovascular medicine. The accordion phenomenon: lesson from a movie. Circulation. 2008; 118:e677–e678. PMID: 18955672.
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