Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement

Ryan Azarrafiy, Felipe N. Albuquerque, Roger Carrillo, Mauricio G Cohen

Research output: Contribution to journalArticle

Abstract

Aortic annular rupture is one of the most feared complications of transcatheter aortic valve replacement (TAVR). This complication often presents as sudden cardiac tamponade with hypotension and requires urgent intervention. The traditional rescue strategy for such cases is emergency surgical intervention, yet the mortality remains high considering most patients who undergo TAVR are not candidates for open heart surgery. As such, there is a need for percutaneous alternatives to treat this critical complication. Here, we describe a case of annular rupture during TAVR that was successfully treated with coil embolization at the rupture site. This case illustrates the use of coil embolization as a treatment strategy in patients with acute aortic annular rupture who are at high-risk for surgical intervention.

Original languageEnglish (US)
JournalCatheterization and Cardiovascular Interventions
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Rupture
Aortic Rupture
Cardiac Tamponade
Hypotension
Thoracic Surgery
Emergencies
Mortality
Transcatheter Aortic Valve Replacement
Therapeutics

Keywords

  • Aortic valve disease
  • Structural heart disease intervention
  • Transcatheter valve implantation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement. / Azarrafiy, Ryan; Albuquerque, Felipe N.; Carrillo, Roger; Cohen, Mauricio G.

In: Catheterization and Cardiovascular Interventions, 01.01.2018.

Research output: Contribution to journalArticle

@article{908b4d690b054ffab342d7833e024f3e,
title = "Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement",
abstract = "Aortic annular rupture is one of the most feared complications of transcatheter aortic valve replacement (TAVR). This complication often presents as sudden cardiac tamponade with hypotension and requires urgent intervention. The traditional rescue strategy for such cases is emergency surgical intervention, yet the mortality remains high considering most patients who undergo TAVR are not candidates for open heart surgery. As such, there is a need for percutaneous alternatives to treat this critical complication. Here, we describe a case of annular rupture during TAVR that was successfully treated with coil embolization at the rupture site. This case illustrates the use of coil embolization as a treatment strategy in patients with acute aortic annular rupture who are at high-risk for surgical intervention.",
keywords = "Aortic valve disease, Structural heart disease intervention, Transcatheter valve implantation",
author = "Ryan Azarrafiy and Albuquerque, {Felipe N.} and Roger Carrillo and Cohen, {Mauricio G}",
year = "2018",
month = "1",
day = "1",
doi = "10.1002/ccd.27546",
language = "English (US)",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",

}

TY - JOUR

T1 - Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement

AU - Azarrafiy, Ryan

AU - Albuquerque, Felipe N.

AU - Carrillo, Roger

AU - Cohen, Mauricio G

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Aortic annular rupture is one of the most feared complications of transcatheter aortic valve replacement (TAVR). This complication often presents as sudden cardiac tamponade with hypotension and requires urgent intervention. The traditional rescue strategy for such cases is emergency surgical intervention, yet the mortality remains high considering most patients who undergo TAVR are not candidates for open heart surgery. As such, there is a need for percutaneous alternatives to treat this critical complication. Here, we describe a case of annular rupture during TAVR that was successfully treated with coil embolization at the rupture site. This case illustrates the use of coil embolization as a treatment strategy in patients with acute aortic annular rupture who are at high-risk for surgical intervention.

AB - Aortic annular rupture is one of the most feared complications of transcatheter aortic valve replacement (TAVR). This complication often presents as sudden cardiac tamponade with hypotension and requires urgent intervention. The traditional rescue strategy for such cases is emergency surgical intervention, yet the mortality remains high considering most patients who undergo TAVR are not candidates for open heart surgery. As such, there is a need for percutaneous alternatives to treat this critical complication. Here, we describe a case of annular rupture during TAVR that was successfully treated with coil embolization at the rupture site. This case illustrates the use of coil embolization as a treatment strategy in patients with acute aortic annular rupture who are at high-risk for surgical intervention.

KW - Aortic valve disease

KW - Structural heart disease intervention

KW - Transcatheter valve implantation

UR - http://www.scopus.com/inward/record.url?scp=85042362997&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042362997&partnerID=8YFLogxK

U2 - 10.1002/ccd.27546

DO - 10.1002/ccd.27546

M3 - Article

C2 - 29469984

AN - SCOPUS:85042362997

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

ER -