Balloon rupture during transcatheter aortic valve replacement.
Catheter Cardiovasc Interv
; 103(6): 1035-1041, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38545668
ABSTRACT
A distinctive complication with balloon-expandable (BE) THV platforms such as the Edwards Sapien (Edwards Lifescience) is the possibility of balloon rupture during THV deployment. Balloon rupture is a rare occurrence that can result in stroke due to fragment embolism, incomplete THV expansion, and/or vascular injury upon retrieval of the balloon. Careful evaluation of preoperative computed tomography is essential to identify high-risk cases. While annular and left ventricular outflow tract (LVOT) calcification are widely acknowledged as common risks for balloon injury, it's essential to note that balloon injury can manifest at various anatomical sites. In this review, we discuss the mechanism behind balloon rupture, methods to identify cases at a heightened risk of balloon injury, approaches to mitigate the risk of rupture, and percutaneous retrieval strategies.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Próteses Valvulares Cardíacas
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Falha de Equipamento
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Valvuloplastia com Balão
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Substituição da Valva Aórtica Transcateter
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article