Percutaneous management of RetroFlex 3 balloon rupture and separation of the Edwards Sapien delivery system.


Journal Article

We report the case of an 85-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with use of the Edwards Sapien(®) valve system. The procedure was complicated by rupture of the valve-deployment balloon, with separation and retention of the nose cone of the RetroFlex 3(®) delivery system in the iliac artery. Our endovascular retrieval of the equipment was successful, and we achieved access-site hemostasis by deploying a covered stent. To our knowledge, this is the first report of the endovascular retrieval of a malfunctioning delivery system during transcatheter aortic valve replacement.

Full Text

Duke Authors

Cited Authors

  • Green, KD; Waked, A; Majeed, U; Fudim, M; Robbins, MA; Crenshaw, M; Zhao, D

Published Date

  • December 2014

Published In

Volume / Issue

  • 41 / 6

Start / End Page

  • 641 - 644

PubMed ID

  • 25593532

Pubmed Central ID

  • 25593532

Electronic International Standard Serial Number (EISSN)

  • 1526-6702

International Standard Serial Number (ISSN)

  • 0730-2347

Digital Object Identifier (DOI)

  • 10.14503/THIJ-13-3447


  • eng