Percutaneous management of RetroFlex 3 balloon rupture and separation of the Edwards Sapien delivery system.
We report the case of an 85-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with use of the Edwards Sapien(®) valve system. The procedure was complicated by rupture of the valve-deployment balloon, with separation and retention of the nose cone of the RetroFlex 3(®) delivery system in the iliac artery. Our endovascular retrieval of the equipment was successful, and we achieved access-site hemostasis by deploying a covered stent. To our knowledge, this is the first report of the endovascular retrieval of a malfunctioning delivery system during transcatheter aortic valve replacement.
['Green|Kelly D|KD|', 'Waked|Alain|A|', 'Majeed|Usman|U|', 'Fudim|Marat|M|', 'Robbins|Mark A|MA|', 'Crenshaw|Marshall|M|', 'Zhao|David|D|']
D000369:Aged, 80 and over D001024:Aortic Valve Stenosis D021721:Balloon Occlusion D006328:Cardiac Catheterization D062906:Cardiac Catheters D020878:Device Removal D005260:Female D016127:Heart Valve Prolapse D019918:Heart Valve Prosthesis Implantation D006470:Hemorrhage D006801:Humans D007083:Iliac Artery D011475:Prosthesis Failure D011859:Radiography D012720:Severity of Illness Index D016896:Treatment Outcome D057772:Vascular System Injuries
Aged, 80 and over cardiac catheterization/adverse effects endovascular procedures/adverse effects/instrumentation equipment failure heart valve prosthesis implantation/adverse effects iliac artery/injuries treatment outcome