Deployment of a covered stent to jail a dislodged TAVR valve frame against the iliac arterial wall successfully restored flow and permitted completion of the procedure.
Case Report (n=1)
The Endo-Jail technique using a covered stent is a viable endovascular bailout strategy for rare iliac valve dislodgement during TAVR when retrieval fails.
Valve dislodgement during transcatheter aortic valve replacement is rare and usually involves migration into the left ventricle or aorta. We report a 90-year-old man with symptomatic severe aortic stenosis who underwent elective transfemoral TAVR complicated by valve dislodgement into the external iliac artery after expandable sheath failure in a tortuous, focally diseased iliac segment. After unsuccessful retrieval attempts, a covered stent was deployed to jail the valve frame against the arterial wall, restoring flow and permitting completion of TAVR during the same procedure. This case highlights a rare iliac complication requiring rapid endovascular bailout when retrieval fails.
Naranjo et al. (Fri,) conducted a case report in Symptomatic severe aortic stenosis with iliac valve dislodgement (n=1). Endo-Jail Technique (covered stent deployment) was evaluated on Restoration of flow and completion of TAVR. Deployment of a covered stent to jail a dislodged TAVR valve frame against the iliac arterial wall successfully restored flow and permitted completion of the procedure.