A bioprosthetic valve entrapped in the subclavian artery after transaxillary TAVI was successfully managed by implanting the valve in the artery and subsequently performing transfemoral TAVI with a low-profile sheathless system 2 weeks later without complications.
Case Report (n=1)
No
Entrapment of a transcatheter aortic valve during transaxillary access can be safely managed by deploying the valve in the subclavian artery, followed by successful transfemoral TAVI using a low-profile sheathless system.
The transaxillary (TAx) approach represents the most commonly preferred alternative access route for transcatheter aortic valve implantation (TAVI) when transfemoral (TF) access is not feasible. Therefore, vascular complications and their management remain of particular importance. In this case report, we present a 75-year-old male patient with severe iliofemoral calcification who underwent TAx-TAVI and developed entrapment of the transcatheter aortic valve in the subclavian artery- a complication reported here for the first time in the literature. The entrapped valve was implanted in the subclavian artery and in the second session, the patient was successfully treated via the TF route using a low-profile in-line sheath (sheathless) system.
Uslu et al. (Fri,) conducted a case report in A 75-year-old male patient with severe iliofemoral calcification, low-flow low-gradient severe aortic stenosis with contractile reserve, LVEF 40%, and NYHA class III symptoms (n=1). Transaxillary transcatheter aortic valve implantation (TAx-TAVI) with 27.5 mm balloon expandable Myval valve followed by transfemoral TAVI with 29 mm Evolut-R valve was evaluated on Successful implantation of transcatheter aortic valve without vascular complications after managing valve entrapment. A bioprosthetic valve entrapped in the subclavian artery after transaxillary TAVI was successfully managed by implanting the valve in the artery and subsequently performing transfemoral TAVI with a low-profile sheathless system 2 weeks later without complications.