The use of the snare catheter (SC) technique has been described in the field of interventional cardiology, in particular in the retrieval of a lost device, for example, a dislodged coronary stent, broken coronary wire, and so forth. In the transcatheter aortic valve replacement (TAVR) procedure, some cases have been observed where the anatomy is challenging or there are scenarios where some complications occur during the procedure, which make it necessary to use some tools to achieve the success of the procedure. The SC has shown are very useful either to achieve the ascent of the valve to the annular plane in complex anatomies or as a rescue measure in the event of complications that may arise after valve implantation.
View Article and Find Full Text PDFBackground: Coronary artery obstruction after percutaneous aortic replacement is a complication with high short-term mortality secondary to the lack of timely treatment. There are various predictors of coronary obstruction prior to valve placement such as the distance from the ostia, the degree of calcification, the distance from the sinuses; In such a situation some measures must be taken to prevent and treat coronary obstruction.
Case Presentation: An 84-year-old male, with severe aortic stenosis and high surgical risk, who was treated with TAVR.
Background: The treatment of choice for patients with severe symptomatic pure native aortic valve regurgitation (PNAVR) is surgical aortic valve replacement (SAVR). However, not all patients are candidates for surgery because of comorbidities or are deemed high risk for surgery. In such cases, transcatheter aortic valve replacement (TAVR) has proved to be better than medical treatment.
View Article and Find Full Text PDFThe presence of a horizontal aorta in patients treated with transcatheter aortic valve replacement increases the difficulty of the procedure. We present 5 cases with aortic stenosis with a horizontal aorta who underwent transcatheter aortic valve replacement using a self-expanding prostheses, with the objective of describing the techniques used and obtaining success with a snare catheter. ().
View Article and Find Full Text PDF