Peripheral vascular complications during transcatheter aortic valve replacement: management and potential role of chronic steroid use.

Journal Article (Journal Article)

PURPOSE: To report a case of a major vascular complication during transcatheter aortic valve replacement (TAVR) and the endovascular management thereof. Additionally, we discuss a possible correlation with long-term steroid use. CASE REPORT: A 79-year-old woman with a history of critical aortic stenosis underwent elective TAVR. Her procedure was complicated by rupture of her right iliac artery, life-threatening retroperitoneal hemorrhage, and thrombus extending into the distal right lower extremity. This case was emergently managed by stent placement, thrombectomy, and tissue plasminogen activator via a percutaneous approach. CONCLUSIONS: Peripheral vascular complications are common during percutaneous TAVR, and chronic steroid use may predispose patients. Endovascular management is often possible and may potentially save valuable time in emergent situations.

Full Text

Duke Authors

Cited Authors

  • Fudim, M; Green, KD; Fredi, JL; Robbins, MA; Zhao, D

Published Date

  • December 2012

Published In

Volume / Issue

  • 24 / 4

Start / End Page

  • 206 - 209

PubMed ID

  • 23793293

Pubmed Central ID

  • PMC4005891

Electronic International Standard Serial Number (EISSN)

  • 1521-5768

Digital Object Identifier (DOI)

  • 10.1177/1531003513491985


  • eng

Conference Location

  • United States