Publication:
Misdeployment of Edwards Sapien Valve in Transfemoral Aortic Valve Implantation Due to Iatrogenic Endarterectomy

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Date

2010-04-06

Authors

Ruiz-Salmerón, Rafael J
Araji, Omar
Valenzuela, Luis F
Vizcaino, Manuel
Fernández, Antonio
Villar, Jose L
Cruz, Jose M
Barquero, Jose M
Martins-Romeo, Daniela
Cueto, Luis

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American Heart Association
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Abstract

Transcatheter aortic valve implantation is an expanding procedure thus far restricted to a target population of old and high-comorbidity patients with symptomatic aortic stenosis. The need for bulky devices (up to 24F) combined with the high prevalence of peripheral vascular disease in these patients explains the increased risk of vascular complications in transfemoral Edwards Sapien (Edwards Lifesciences, Irvine, Calif) transcatheter aortic valve implantation procedures, with a rate of 20% for the transfemoral arm of either the Placement of AoRTic traNscathetER valves in the European Union (PARTNER EU) trial or the SOURCE Registry.1,2

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Medical Subject Headings::Diseases::Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases::Aortic Valve Stenosis
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endarterectomy
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Femoral Artery
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Cardiac Surgical Procedures::Heart Valve Prosthesis Implantation
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Iatrogenic Disease
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries::Iliac Artery
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged::Aged, 80 and over

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Keywords

Estenosis de la Válvula Aórtica, Endarterectomía, Arteria Femoral, Implantación de Prótesis de Válvulas Cardíacas, Enfermedad Iatrogénica, Arteria Ilíaca

Citation

Ruiz-Salmerón RJ, Araji O, Valenzuela LF, Vizcaino M, Fernández A, Villar JL, et al. Images in cardiovascular medicine. Misdeployment of Edwards Sapien valve in transfemoral aortic valve implantation due to iatrogenic endarterectomy. Circulation. 2010 ; 121(13):1542-3