Key result
Percutaneous management with coil embolization and polymer injection successfully repaired a contained annular rupture following self-expanding transcatheter aortic valve replacement.
Why the study?
Annular rupture during TAVR is a rare, life-threatening complication that often requires emergent surgical repair.
Can contained annular rupture during TAVR be managed percutaneously with coiling and polymer injection?
Case Report (n=1)
No
Can contained annular rupture during TAVR be managed percutaneously with coiling and polymer injection?
Percutaneous coiling and polymer injection may be a viable novel technique for managing contained annular rupture during TAVR.
Answers are grounded in this paper and cite their sources.
Suggests a percutaneous bailout option for contained annular rupture; hypothesis-generating and requires validation before broader adoption.
Annular rupture is a rare catastrophic event during transcatheter aortic valve replacement, often life threatening and requiring emergent surgical repair. We describe, herein, a case of contained annular rupture successfully managed percutaneously with coiling and polymer injection. This is a novel technique to manage this complication. (Level of Difficulty: Advanced.)
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Kellogg et al. (2020) conducted a case report in Contained annular rupture during TAVR (n=1). Percutaneous repair with coiling and polymer injection was evaluated on Obliteration of pseudoaneurysm without extravasation. Percutaneous management with coil embolization and polymer injection successfully repaired a contained annular rupture following self-expanding transcatheter aortic valve replacement.
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