Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2015
TEVAR Rescue of an Embolized Edwards SAPIEN XT Valve Following TAVR.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Larion Sebastian, Moore Jason R, Ammar Chad, Panneton Jean M
Аннотация
PURPOSE: To report a successful method of managing an embolized Edwards SAPIEN XT aortic valve prosthesis using a thoracic endovascular aortic repair rescue.
CASE REPORT: An 84-year-old man underwent transcatheter aortic valve replacement using a 26-mm Edwards SAPIEN XT valve, which immediately embolized into the ascending aorta. Because of the severe tapering of the patient's transverse aortic arch, the embolized valve was unable to be maneuvered further down the aorta. Therefore, a Cook 36×80-mm Zenith Dissection Endovascular System (ZDES) bare metal stent was used on a compassionate basis to append the embolized valve between the patient's coronary artery ostia and the innominate artery takeoff within the ascending aorta, with no neurological or cardiovascular complications at 12-month follow-up.
CONCLUSION: A Cook ZDES bare metal stent may be successfully used to append an embolized Edwards SAPIEN XT valve within the ascending aorta.
CASE REPORT: An 84-year-old man underwent transcatheter aortic valve replacement using a 26-mm Edwards SAPIEN XT valve, which immediately embolized into the ascending aorta. Because of the severe tapering of the patient's transverse aortic arch, the embolized valve was unable to be maneuvered further down the aorta. Therefore, a Cook 36×80-mm Zenith Dissection Endovascular System (ZDES) bare metal stent was used on a compassionate basis to append the embolized valve between the patient's coronary artery ostia and the innominate artery takeoff within the ascending aorta, with no neurological or cardiovascular complications at 12-month follow-up.
CONCLUSION: A Cook ZDES bare metal stent may be successfully used to append an embolized Edwards SAPIEN XT valve within the ascending aorta.
Предметные рубрики MeSH
Aged, 80 and overAorta, ThoracicAortic Valve StenosisAortographyCardiac CatheterizationCompassionate Use TrialsEmbolismEndovascular ProceduresForeign-Body MigrationHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansMaleMetalsProsthesis DesignStentsTime FactorsTomography, X-Ray ComputedTreatment Outcome