Core valve embolization: Technical challenges and management

Transcatheter Aortic Valve Implantation with the Core Valve self expanding prosthesis can be complicated by hemodynamic instability in cases of low deployment (implant failure). The management of a low implant may necessitate repositioning the prostheses with the help of a snare catheter. Snaring ca...

Full description

Saved in:
Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2012-04, Vol.79 (5), p.777-782
Main Authors: Sarkar, Kunal, Ussia, GianPaolo, Tamburino, Corrado
Format: Article
Language:English
Subjects:
Aged
aortic stenosis
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - surgery
Cardiac Catheterization - adverse effects
Cardiac Catheterization - methods
Catheters
core valve
Echocardiography, Transesophageal
Embolism - diagnosis
Embolism - etiology
Embolism - therapy
Follow-Up Studies
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - methods
Humans
Male
percutaneous prosthesis
Prosthesis Design
Prosthesis Failure
Radiography, Interventional - methods
Risk Assessment
snaring
Treatment Outcome
valve‐in‐valve
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Transcatheter Aortic Valve Implantation with the Core Valve self expanding prosthesis can be complicated by hemodynamic instability in cases of low deployment (implant failure). The management of a low implant may necessitate repositioning the prostheses with the help of a snare catheter. Snaring can however be complicated by embolization of the prosthesis which presents a series of technical challenges that need to be addressed. We have discussed the technical issues and the approach to address them successfully in a systematic manner to ensure optimal procedural and patient outcomes. © 2011 Wiley Periodicals, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.23243