AI Article Synopsis
- - Device entrapment during Transcatheter Aortic Valve Implantation (TAVI) is a rare but serious issue, particularly with calcified aorta, as shown in a case involving an 86-year-old female patient where a pigtail catheter got stuck.
- - After failed attempts to retrieve the catheter, an innovative solution was implemented by inflating a post-dilation balloon to stabilize the valve while safely extracting the trapped catheter without damage or the need for surgery.
- - The case highlights the need for preventative measures, such as ensuring catheters can move freely and retracting them before fully deploying the valve, to avoid complications in future procedures.
Article Abstract
Device entrapment during Transcatheter Aortic Valve Implantation (TAVI) is a rare but significant complication, particularly in cases involving calcified aortic anatomy. This case report presents a novel bailout strategy to address pigtail catheter entrapment during a TAVI procedure. An 86-year-old female undergoing TAVI with an Acurate neo2 prosthesis experienced pigtail catheter entrapment between the valve frame and calcified non-coronary cusp during valve deployment. Initial attempts to retrieve the catheter failed, leading to concerns about valve displacement and potential complications. The innovative solution involved inflating a post-dilation balloon within the valve to stabilize the prosthesis while simultaneously retrieving the trapped pigtail catheter. This technique ensured safe extraction without compromising valve integrity or necessitating surgical intervention. The report emphasizes the importance of preemptive measures, including confirming the catheter's free movement and retracting it before final valve release, to prevent similar complications.
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| http://dx.doi.org/10.1002/ccd.31343 | DOI Listing |
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