December 11, 2006Catheterization and Cardiovascular Interventions
Fatal ischemic stroke related to nonpermissive peripheral artery access for percutaneous aortic valve replacement
Key result
PAVR case reports fatal ischemic stroke due to subclavian occlusion by iliac vascular tissue.
- n=1
Why the study?
Device-specific vascular access screening criteria and minimizing device size are needed to safely perform percutaneous aortic valve replacement.
Comparison
Percutaneous aortic valve replacement via left iliac artery with 21 Fr delivery catheter
Design
Case report
Authors
Discussion
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Member takes
Implication
Iliac resistance despite pre-dilatation warrants access caution in high-risk PAVR; leaves open optimal pre-dilatation strategies.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
An 85-year-old man with high peri-operative risk (logistic euroSCORE 37%) who underwent percutaneous aortic valve replacement.
I
Intervention
Percutaneous aortic valve replacement (PAVR) via left iliac artery using a 21 Fr delivery catheter
O
Outcome
Fatal ischemic strokesafety
This case report highlights the imperative for device-specific vascular access screening criteria and the need to minimize device size to safely accomplish percutaneous aortic valve replacement.
Cite This Study
Berry et al. (2006) conducted a case report in Aortic valve disease (n=1). Percutaneous aortic valve replacement (PAVR) was evaluated on Procedural complications and mortality. Percutaneous aortic valve replacement in an 85-year-old man was complicated by a fatal right cerebral ischemic stroke due to left subclavian artery occlusion by iliac vascular tissue.