Thrombembolic occlusion of crural arteries following transcatheter aortic valve implantation--successful endovascular recanalization using a thrombus aspiration device

Vasa. 2012 May;41(3):225-8. doi: 10.1024/0301-1526/a000190.

Abstract

Transcatheter aortic valve implantation (TAVI) has become an increasingly used alternative to conventional surgical valve replacement in patients with severe aortic valve stenosis (AS) and high operative risk. We here describe a case of a TAVI performed in local anesthesia causing intraprocedural thromboembolic occlusion of non-stenotic crural arteries and its immediate successful therapeutic management by means of endovascular recanalization using a thrombus aspiration device.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anesthesia, Local
  • Angiography, Digital Subtraction
  • Aortic Valve Stenosis / therapy*
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / therapy*
  • Cardiac Catheterization / adverse effects*
  • Endovascular Procedures* / instrumentation
  • Equipment Design
  • Female
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Lower Extremity / blood supply*
  • Suction
  • Thrombectomy* / instrumentation
  • Thromboembolism / diagnostic imaging
  • Thromboembolism / etiology
  • Thromboembolism / therapy*
  • Tomography, X-Ray Computed
  • Treatment Outcome