Recapture failure in transcatheter aortic valve replacement with CoreValve Evolut R
| Autor: | Satoaki Matoba, Kan Zen, Kensuke Kuwabara, Nobuyasu Ito |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Time Factors Transcatheter aortic medicine.medical_treatment 030204 cardiovascular system & hematology Prosthesis Design Prosthesis Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Valve replacement Risk Factors medicine.artery Ascending aorta Humans Medicine Thoracic aorta Radiology Nuclear Medicine and imaging 030212 general & internal medicine Aged 80 and over business.industry Aortic Valve Stenosis General Medicine medicine.disease Surgery Stenosis Treatment Outcome Aortic Valve Heart Valve Prosthesis Aortic valve stenosis Female Distal segment Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Interventions. 98 |
| ISSN: | 1522-726X 1522-1946 |
| DOI: | 10.1002/ccd.29580 |
| Popis: | Self-expanding prostheses for transcatheter aortic valve replacement (TAVR), which can be recaptured, provide us the option of repositioning for a more accurate placement. We report a very rare case in which the recapture of CoreValve Evolut R (Medtronic, Minneapolis, Minnesota) to correct the implantation depth during the deployment could not be achieved. We planned TAVR with a 23 mm Evolut R prosthesis for a 92-year-old female with severe aortic stenosis and tightly bent thoracic aorta. During the first deployment attempt, the implantation depth was greater than we expected at 2/3 deployment. They tried to recapture and reposition the prosthesis, but the prosthesis was not re-sheathed into the capsule of the delivery system. The prosthesis could not be recaptured despite a repeat attempt, and they were forced to deploy the device as it was. The prosthesis was deployed very carefully and implanted successfully without a pop-up into the ascending aorta. At a later date, this situation was replicated in vitro and was found that the distal segment of the capsule became deformed, increasing the resistance to rotating the grip handle. |
| Databáze: | OpenAIRE |
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