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

Journal Article

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.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.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

Electronic International Standard Serial Number (EISSN)

  • 1521-5768

International Standard Serial Number (ISSN)

  • 1531-0035

Digital Object Identifier (DOI)

  • 10.1177/1531003513491985

Language

  • eng